NPIMap

Organization Active NPI

Birth to Three & Beyond Pediatric Therapies, LLC

  • Professional Counselor
  • Lake Villa, IL
National Provider Identifier
1063955847
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178012521 Issued in IL
Legal business name
BIRTH TO THREE & BEYOND PEDIATRIC THERAPIES, LLC
Practice address
89 Cedar Ave
Lake Villa, IL 60046-8411
Phone
(847) 265-7300
Fax
(847) 265-7301
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Jennifer Depperschmidt
Title
Office Manager
Phone
(847) 265-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 178012521 IL Primary

Addresses

Primary practice location

89 Cedar Ave
Lake Villa, IL 60046-8411

Mailing address

89 Cedar Ave
Lake Villa, IL 60046-8411
Phone (847) 265-7300

Other names 1

  • The Therapy Tree, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Birth to Three Beyond Pediatric Therapies LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1063955847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CEDAR AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468411",
            "telephone_number": "847-265-7300",
            "fax_number": "847-265-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CEDAR AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468411",
            "telephone_number": "847-265-7300",
            "fax_number": "847-265-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH TO THREE & BEYOND PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "DEPPERSCHMIDT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-265-7300"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapy Tree, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.