Organization Active NPI

Meier Clinics of Illinois, P.C.

Doing business as Meier Clinics

  • Mental Health Counselor
  • Wheaton, IL
National Provider Identifier
1083661102
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
060009349 Issued in IL
Legal business name
MEIER CLINICS OF ILLINOIS, P.C.
Doing business as
Meier Clinics
Practice address
2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579
Phone
(630) 653-1717
Fax
(630) 653-1025
NPI assigned
May 27, 2006
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Heather Gandy
Title
Chief Financial Officer
Phone
(630) 653-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 060009349 IL Primary

Addresses

Primary practice location

2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579

Mailing address

2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579
Phone (630) 653-1717

Other names 1

  • Meier Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000026 IL Part B Supplier - Clinic/Group Practice 5193612836 Receives reassigned benefits from 14 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheaton, IL; Geneva, IL; Chicago, IL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1083661102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "SUITE 1510",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874579",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "SUITE 1510",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874579",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIER CLINICS OF ILLINOIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "630-653-1717"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "060009349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meier Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.