NPIMap

Organization Active NPI

Tcpcindustries

  • Mental Health Counselor
  • Sleepy Hollow, IL
National Provider Identifier
1093446734
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TCPCINDUSTRIES
Practice address
47 Katrina LN
Sleepy Hollow, IL 60118-3123
Phone
(847) 942-0555
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Phetsavanh Coggin, LCPC
Title
Owner
Phone
(847) 942-0555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

47 Katrina LN
Sleepy Hollow, IL 60118-3123

Mailing address

47 Katrina LN
Sleepy Hollow, IL 60118-3123
Phone (847) 942-0555

Other names 1

  • PHET COGGIN LCPC Other name

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": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1093446734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 KATRINA LN",
            "city": "SLEEPY HOLLOW",
            "state": "IL",
            "postal_code": "601183123",
            "telephone_number": "847-942-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 KATRINA LN",
            "city": "SLEEPY HOLLOW",
            "state": "IL",
            "postal_code": "601183123",
            "telephone_number": "847-942-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCPCINDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "COGGIN",
        "authorized_official_first_name": "PHETSAVANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-942-0555",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHET COGGIN LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sleepy Hollow, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.