Organization Active NPI

Evergreen Therapy

  • Mental Health Counselor
  • Barrington, IL
National Provider Identifier
1043893639
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EVERGREEN THERAPY
Practice address
200 N Northwest Hwy Ste 200
Barrington, IL 60010-7500
Phone
(224) 286-4290
NPI assigned
Apr 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Mrs. Jenna Palumbo, LCPCNPI 1205491685
Title
Owner/Psychotherapist
Phone
(224) 286-4290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

200 N Northwest Hwy Ste 200
Barrington, IL 60010-7500

Mailing address

200 N Northwest Hwy Ste 200
Barrington, IL 60010-7500
Phone (224) 286-4290

Other practice location 1

181 Washo Ct
Lake Zurich, IL 60047-7901
Phone (708) 373-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.evergreentherapyservices.com Direct

National Provider Directory

National Provider Directory

Locations

200 N Northwest Hwy
Ste 200
Barrington, IL 60010
Phone (224) 286-4290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1043893639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N NORTHWEST HWY STE 200",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107500",
            "telephone_number": "224-286-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N NORTHWEST HWY STE 200",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107500",
            "telephone_number": "224-286-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Washo Ct",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600477901",
            "country_code": "US",
            "telephone_number": "708-373-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVERGREEN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "224-286-4290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.evergreentherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 Washo Ct",
            "city": "Lake Zurich",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600477901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.