Active NPI
Elevating Resilience Counseling LLC
- Mental Health Counselor
- Bloomingdale, IL
National Provider Identifier
1043917578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ELEVATING RESILIENCE COUNSELING LLC
- Practice address
- 1 Tiffany PT Ste G11
Bloomingdale, IL 60108-2961 - Phone
- (630) 446-0162
- NPI assigned
- Feb 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tabitha Guillaume, LCPC
- Title
- Owner
- Phone
- (570) 220-4919
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1 Tiffany PT Ste G11
Bloomingdale, IL 60108-2961
Mailing address
179 Pintail LN
Bloomingdale, IL 60108-5411
Phone (570) 220-4919
National Provider Directory
National Provider DirectoryLocations
1 Tiffany Pt
Ste G11
Bloomingdale, IL 60108
Phone (630) 446-0162
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.
-
- Professional Counselor
- Oak Brook, IL
- NPI 1265943344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1043917578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 PINTAIL LN",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601085411",
"telephone_number": "570-220-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TIFFANY PT STE G11",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082961",
"telephone_number": "630-446-0162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATING RESILIENCE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "GUILLAUME",
"authorized_official_first_name": "TABITHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-220-4919",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
- Autumn Blaire M Durias, O.D.
- Daniel Patrick Durkin, DC
- Ears in Bloom Audiology, LLC
- Jasmin L Eco, D.D.S.
- Zachary Edsey
- Marnella Elizalde, NP-C
- Elmhurst Dental Group, LTD Dba Bloomingdale Dental (Bloomingdale Dental)
- Elmhurst Memorial Healthcare (Elmurst Clinic)
- Empower Psychiatry PLLC
- William L Epperly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.