Organization Active NPI

New Edge Counseling Services

  • Mental Health Counselor
  • Highland Park, IL
National Provider Identifier
1083312201
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW EDGE COUNSELING SERVICES
Practice address
771 Broadview Ave
Highland Park, IL 60035-4617
Phone
(312) 989-5432
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Shuyu Wang, LMFTNPI 1265142095
Title
Owner
Phone
(312) 989-5432

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

771 Broadview Ave
Highland Park, IL 60035-4617

Mailing address

771 Broadview Ave
Highland Park, IL 60035-4617
Phone (312) 989-5432

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1083312201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 BROADVIEW AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354617",
            "telephone_number": "312-989-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 BROADVIEW AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354617",
            "telephone_number": "312-989-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW EDGE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SHUYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-989-5432",
        "authorized_official_credential": "LMFT"
    },
    "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 Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.