NPIMap

Organization Active NPI

Psychological Counseling Center, LLC

  • Professional Counselor
  • Deerfield, IL
National Provider Identifier
1053765776
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180009107 Issued in IL
Legal business name
PSYCHOLOGICAL COUNSELING CENTER, LLC
Practice address
405 Lake Cook Rd
Suite 203
Deerfield, IL 60015-4993
Phone
(947) 907-1166
Fax
(847) 236-1720
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Katarzyna Blanka Pilewicz, LCPC, CADCNPI 1467865311
Title
Owner
Phone
(847) 907-1166

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180009107 IL Primary

Addresses

Primary practice location

405 Lake Cook Rd
Suite 203
Deerfield, IL 60015-4993

Mailing address

405 Lake Cook Rd
Suite 203
Deerfield, IL 60015-4993
Phone (947) 907-1166

National Provider Directory

National Provider Directory

Locations

8383 Belmont Ave
Ste 301
River Grove, IL 60171

943 N Plum Grove Rd
Ste B
Schaumburg, IL 60173
Phone (847) 892-5001

925 N Plum Grove Rd
Ste Ab
Schaumburg, IL 60173

Practitioners & affiliated clinicians

Practitioners 8

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": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1053765776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE COOK RD",
            "address_2": "SUITE 203",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154993",
            "telephone_number": "947-907-1166",
            "fax_number": "847-236-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE COOK RD",
            "address_2": "SUITE 203",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154993",
            "telephone_number": "947-907-1166",
            "fax_number": "847-236-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "PILEWICZ",
        "authorized_official_first_name": "KATARZYNA",
        "authorized_official_middle_name": "BLANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-907-1166",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.