Fringe Counseling, Coaching, and Consulting

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018777 Issued in IL

Legal business name

FRINGE COUNSELING, COACHING, AND CONSULTING

Practice address

1525 Circle Ave
Forest Park, IL 60130-2629

Phone

(773) 266-4406

NPI assigned

Nov 26, 2016

Organization subpart

No

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

Authorized official

Name

Chante Gamby, LCSW

Title

Ceo

Phone

(773) 266-4406

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480118400000",
    "number": "1104369032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5954 W FULTON ST",
            "address_2": "1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442114",
            "telephone_number": "773-266-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CIRCLE AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302629",
            "telephone_number": "773-266-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRINGE COUNSELING, COACHING, AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-26",
        "last_updated": "2016-11-26",
        "status": "A",
        "authorized_official_last_name": "GAMBY",
        "authorized_official_first_name": "CHANTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-266-4406",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forest Park Dental Associates LTD
• Forest Park School District 91
• Forest Park, L.L.C.
• Marco Formigoni, LCSW
• Foward Momentum Counseling PLLC
• Elsy Cecilia Fuentes
• Chante Gamby, LCSW
• Anthony J Garreffa
• Beth Ginsburg, MD
• Julia Giron

• Clinical Social Worker in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.