Northwest Therapy Group, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NORTHWEST THERAPY GROUP, INC.

Practice address

118 S Main St Ste 5
Wauconda, IL 60084-1859

Phone

(847) 508-6399

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Alexis Aguilar, LCPC, CADCNPI 1528518149

Title

Owner

Phone

(847) 508-6399

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Alexis Aguilar, LCPC, CADC

  • Professional Counselor
  • Wauconda, IL
  • NPI 1528518149

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1073198909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28038 W HOMESTEAD CT",
            "city": "LAKEMOOR",
            "state": "IL",
            "postal_code": "600516662",
            "telephone_number": "847-508-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST STE 5",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841859",
            "telephone_number": "847-508-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-508-6399",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natural Healing of Wauconda
• Michelle Naurecki, APN
• Katelyn Susanna Nedza, M.S. CCC-SLP
• Stephennie Nedza
• Noble Nest Home Care,LLC
• Hunter Leigh Novosad, PHARMD
• Chad Alan Oberbroeckling, A.T.C.
• Jessica Ortiz, L.C.S.W.
• Nneka Osude, FNP-BC
• Rebecca A Patzer, PA-C

• Professional Counselor in Wauconda, IL
• Providers in Wauconda, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.