Organization Active NPI

Elevating Resilience Counseling LLC

  • Mental Health Counselor
  • Bloomingdale, IL
National Provider Identifier
1043917578
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Tabitha Guillaume, LCPCNPI 1265943344
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.