Encompass Counseling & Therapy Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ENCOMPASS COUNSELING & THERAPY CORP

Practice address

5500 Carriageway Dr Apt 203C
Rolling Meadows, IL 60008-3963

Phone

(847) 454-3051

Fax

(847) 454-3052

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Jaeger, LCSW

Title

LCSW

Phone

(815) 757-2743

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1053901322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 CARRIAGEWAY DR APT 203C",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083963",
            "telephone_number": "847-454-3051",
            "fax_number": "847-454-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 CARRIAGEWAY DR APT 203C",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083963",
            "telephone_number": "847-454-3051",
            "fax_number": "847-454-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS COUNSELING & THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "815-757-2743",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://drive.google.com/drive/my-drive",
            "affiliation": "N",
            "address_1": "5500 Carriageway Dr Apt 203C",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600083963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.