NPIMap

Organization Active NPI

Dekalb County Youth Services Bureau

  • Professional Counselor
  • Dekalb, IL
National Provider Identifier
1073995874
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DEKALB COUNTY YOUTH SERVICES BUREAU
Practice address
330 Grove St
Dekalb, IL 60115-3703
Phone
(815) 748-2010
Fax
(815) 748-2019
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Diane Hulst
Title
Director
Phone
(815) 748-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

330 Grove St
Dekalb, IL 60115-3703

Mailing address

330 Grove St
Dekalb, IL 60115-3703
Phone (815) 748-2010

National Provider Directory

National Provider Directory

Locations

330 Grove St
DeKalb, IL 60115
Phone (815) 748-2010

Practitioners & affiliated clinicians

Practitioners 6

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": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1073995874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GROVE ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153703",
            "telephone_number": "815-748-2010",
            "fax_number": "815-748-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GROVE ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153703",
            "telephone_number": "815-748-2010",
            "fax_number": "815-748-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB COUNTY YOUTH SERVICES BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "HULST",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-748-2010"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.