NPIMap

Organization Active NPI

Rodasi LLC

  • Marriage & Family Therapist
  • Hoffman Estates, IL
National Provider Identifier
1043450794
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000736 Issued in IL
Legal business name
RODASI LLC
Practice address
2500 W. Higgins Rd
Unit 105
Hoffman Estates, IL 60169-2040
Phone
(888) 870-1775
Fax
(847) 349-1619
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott F. Terry, ED.D.
Title
Owner / Director
Phone
(888) 870-1775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 166000736 IL Primary

Addresses

Primary practice location

2500 W. Higgins Rd
Unit 105
Hoffman Estates, IL 60169-2040

Mailing address

684 S Barrington Rd
Suite 112
Streamwood, IL 60107-1841
Phone (888) 870-1775

Other identifiers 2

IdentifierTypeStateIssuer
166000736OtherILSTATE LICENSE
180006449OtherILSTATE LICENSE

Other names 1

  • Ardent Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ardent Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1043450794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 S BARRINGTON RD",
            "address_2": "SUITE 112",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071841",
            "telephone_number": "888-870-1775",
            "fax_number": "847-349-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W. HIGGINS RD",
            "address_2": "UNIT 105",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692040",
            "telephone_number": "888-870-1775",
            "fax_number": "847-349-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODASI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "888-870-1775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "166000736",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "180006449",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.