Dorene Rosenbloom-Mirman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.014724 Issued in IL

Practice address

910 Skokie Blvd Ste 215
Northbrook, IL 60062-4033

Phone

(847) 902-2199

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1083309652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 KIPLING LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351624",
            "telephone_number": "847-902-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD STE 215",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624033",
            "telephone_number": "847-902-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLOOM-MIRMAN",
        "first_name": "DORENE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosecrance, Inc.
• David I. Rosen, M.D.
• David Stanley Rosenbaum, DDS MS
• Jenifer M. Rosenberg, MASSAGE THERAPIST
• Jessica Rosenberg
• Andrew Rosenbloom, M.A.
• Tema Rosenblum, LSW
• Robert Lee Rosenfeld, MD
• Zachrey Rosengarten, M.D.
• Andrew Scott Rosenson, M.D.

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

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

Verify at the official NPI Registry.