Felice Block Ma LCPC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FELICE BLOCK MA LCPC

Practice address

4160 Il Route 83 Ste 206
Long Grove, IL 60047-8034

Phone

(847) 494-0482

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Felice Block, LCPC

Title

Owner

Phone

(847) 494-0482

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1104453869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83 STE 206",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478034",
            "telephone_number": "847-494-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83 STE 206",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478034",
            "telephone_number": "847-494-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICE BLOCK MA LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "FELICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-494-0482",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1396806683",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.feliceblock.com/",
            "affiliation": "N",
            "address_1": "4160 Il Route 83 Ste 206",
            "city": "Long Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600478034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shakeema Alexandra Facey, ARNP
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• Elizabeth J Fazio, PSYD
• Carolyn Federman, MD
• Mary Susan Fidale, LCPC, RNC
• Marek Filipiuk, M.D.
• Benjamin Fischer
• Ilene S Fischman, M.S.
• Lisa Marie Fontanini

• Mental Health Clinic/Center (Including Community Mental Health Center) in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.