Active NPI
Heart & Soul Therapies, PC
- Clinical Social Worker
- Park Ridge, IL
National Provider Identifier
1053546499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-002572
- Legal business name
- HEART & SOUL THERAPIES, PC
- Practice address
- 2604 E Dempster St
Suite 306
Park Ridge, IL 60068-8412 - Phone
- (847) 827-8297
- NPI assigned
- May 28, 2009
- Last updated
- May 28, 2009
- 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
- Ms. Laureen A Rose, LCSW
- Title
- President
- Phone
- (847) 827-8297
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178-005466 | IL | |
| Clinical Social Worker | 1041C0700X | 149-002572 | IL | Primary |
Addresses
Primary practice location
2604 E Dempster St
Suite 306
Park Ridge, IL 60068-8412
Mailing address
2604 E Dempster St
Suite 306
Park Ridge, IL 60068-8412
Phone (847) 827-8297
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Park Ridge, IL
- NPI 1558498311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243468800000",
"number": "1053546499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 E DEMPSTER ST",
"address_2": "SUITE 306",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600688412",
"telephone_number": "847-827-8297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 E DEMPSTER ST",
"address_2": "SUITE 306",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600688412",
"telephone_number": "847-827-8297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART & SOUL THERAPIES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "LAUREEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-827-8297",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178-005466",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-002572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
- Heals on Wheels Mobile Healthcare PLLC
- Health First Home Health Inc.
- Health Maintenance Insititue of Illinois, Inc.
- Healthcare Alternative Systems, Inc.
- Hearing Professionals of Il LTD (Hearing Professionals of Illinois)
- Heart to Heart Home Health Corp
- Amy E. Hedstrom, PA-C
- Karen C. Heick, PT
- Lindsay Heidebrink, DPT
- Benjamin Reis Heilbrunn, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.