Miva Psychotherapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIVA PSYCHOTHERAPY

Practice address

475 Dunham Rd Ste 1E
St Charles, IL 60174-1498

Phone

(331) 276-2355

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Ayaovi Esenam AmezotchiNPI 1407347479

Title

Therapist

Phone

(630) 674-2405

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayaovi Amezotchi

  • Professional Counselor
  • Schaumburg, IL
  • NPI 1407347479
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601683200000",
    "number": "1104439413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E THORNDALE LN",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773205",
            "telephone_number": "630-674-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 DUNHAM RD STE 1E",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741498",
            "telephone_number": "331-276-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIVA PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A",
        "authorized_official_last_name": "AMEZOTCHI",
        "authorized_official_first_name": "AYAOVI",
        "authorized_official_middle_name": "ESENAM",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "630-674-2405"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Mitchell, MS, RDN, LDN
• Colette Mitchell
• Karyn Mitchell, N.D., PH.D, LMT
• Marilyn L. Mitchell
• Paige Mitchell
• MJ Counseling LTD
• Laura Moehrlin
• Meagen Lynn Moeller
• Laurie Jo Moffitt, LCPC
• Lauren Mollica, LMFT

• Professional Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.