NPIMap

Organization Active NPI

Affinity Counseling, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lisle, IL
National Provider Identifier
1043896194
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
AFFINITY COUNSELING, LLC
Practice address
1500 Eisenhower LN Ste 300
Lisle, IL 60532-2132
Phone
(630) 776-5337
NPI assigned
Mar 19, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Mrs. Amy P. Nichols, MA, LCPCNPI 1679087340
Title
Business Owner
Phone
(630) 776-5337

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1500 Eisenhower LN Ste 300
Lisle, IL 60532-2132

Mailing address

1500 Eisenhower LN Ste 300
Lisle, IL 60532-2132
Phone (630) 776-5337

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1043896194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EISENHOWER LN STE 300",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322132",
            "telephone_number": "630-776-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EISENHOWER LN STE 300",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322132",
            "telephone_number": "630-776-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "630-776-5337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.