NPIMap

Organization Active NPI

New Foundation Center Inc

  • Mental Health Counselor
  • Gurnee, IL
National Provider Identifier
1104229988
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEW FOUNDATION CENTER INC
Practice address
4343 Old Grand Ave
Gurnee, IL 60031-2767
Phone
(847) 672-8525
Fax
(847) 672-9493
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Ms. Susan Shimon
Title
Executive Director
Phone
(847) 501-2939

Specialties & licenses 1

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

Addresses

Primary practice location

4343 Old Grand Ave
Gurnee, IL 60031-2767

Mailing address

444 W Frontage Rd
Northfield, IL 60093-3009
Phone (847) 501-2939

National Provider Directory

National Provider Directory
Tax ID family
New Foundation Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4343 Old Grand Ave
Gurnee, IL 60031
Phone (773) 432-6491

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1104229988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W FRONTAGE RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933009",
            "telephone_number": "847-501-2939",
            "fax_number": "847-716-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 OLD GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312767",
            "telephone_number": "847-672-8525",
            "fax_number": "847-672-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FOUNDATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "SHIMON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-501-2939",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.