Organization Active NPI

Mind Rest Counseling, PLLC

  • Counselor
  • Chicago, IL
National Provider Identifier
1073211686
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MIND REST COUNSELING, PLLC
Practice address
4501 N Central Ave
Chicago, IL 60630-3699
Phone
(847) 282-0037
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
May Gruia
Title
Counselor
Phone
(847) 282-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

4501 N Central Ave
Chicago, IL 60630-3699

Mailing address

1509 Waukegan Rd Ste 1056
Glenview, IL 60025-2122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1073211686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 WAUKEGAN RD STE 1056",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303699",
            "telephone_number": "847-282-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND REST COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-07-10",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "GRUIA",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "847-282-0037"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.