Active NPI
Collective Valor
- Mental Health Counselor
- Palos Heights, IL
National Provider Identifier
1083306344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- COLLECTIVE VALOR
- Practice address
- 7360 W Palos Ave
Palos Heights, IL 60463-2060 - Phone
- (708) 571-0071
- NPI assigned
- May 24, 2023
- Last updated
- May 24, 2023
- 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
- Dr. Keiana L. Winters, LCPC, PHD
- Title
- Owner
- Phone
- (708) 571-0071
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7360 W Palos Ave
Palos Heights, IL 60463-2060
Mailing address
7360 W Palos Ave
Palos Heights, IL 60463-2060
Phone (708) 571-0071
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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
- Chicago, IL
- NPI 1376985879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1083306344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7360 W PALOS AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632060",
"telephone_number": "708-571-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7360 W PALOS AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632060",
"telephone_number": "708-571-0071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLECTIVE VALOR",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "WINTERS",
"authorized_official_first_name": "KEIANA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-571-0071",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCPC, PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.