Active NPI
Campuzano Clinical Therapy LLC
- Professional Counselor
- Des Plaines, IL
National Provider Identifier
1063912152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180011340
- 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, 2024
- 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
- Maria Campuzano, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Professional Counselor
- Des Plaines, IL
- NPI 1720444235
-
- Professional Counselor
- Des Plaines, IL
- NPI 1528766482
-
- Counseling Psychologist
- Griffith, IN
- NPI 1568087757
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.