Bruce Ciesil, MS, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180008209 Issued in IL

Practice address

125 S Wilke Rd
Suite 203 C
Arlington Heights, IL 60005-1534

Phone

(630) 205-1926

Fax

(847) 952-9722

NPI assigned

Jan 6, 2009

Last updated

Dec 8, 2014By the provider in NPPES

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1083850473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S WILKE RD",
            "address_2": "SUITE 203 C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051534",
            "telephone_number": "630-205-1926",
            "fax_number": "847-952-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S WILKE RD",
            "address_2": "SUITE 203 C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051534",
            "telephone_number": "630-205-1926",
            "fax_number": "847-952-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESIL",
        "first_name": "BRUCE",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.