Organization Active NPI

Campuzano Clinical Therapy LLC

  • Professional Counselor
  • Des Plaines, IL
National Provider Identifier
1063912152
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180011340 Issued in IL
Legal business name
CAMPUZANO CLINICAL THERAPY LLC
Practice address
1400 E Touhy Ave Ste 240
Des Plaines, IL 60018-3316
Phone
(847) 510-3034
NPI assigned
Feb 15, 2018
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Maria Campuzano, LCPCNPI 1720444235
Title
Licensed Clinical Prof Counselor
Phone
(847) 510-3034

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 Counselor 101YP2500X 180011340 IL Primary

Addresses

Primary practice location

1400 E Touhy Ave Ste 240
Des Plaines, IL 60018-3316

Mailing address

1400 E Touhy Ave Ste 240
Des Plaines, IL 60018-3316
Phone (847) 510-3034

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1063912152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E TOUHY AVE STE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600183316",
            "telephone_number": "847-510-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E TOUHY AVE STE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600183316",
            "telephone_number": "847-510-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUZANO CLINICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "CAMPUZANO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROF COUNSELOR",
        "authorized_official_telephone_number": "847-510-3034",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.