Richard Eisaman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RICHARD EISAMAN

Practice address

62 Orland Square Dr
Suite 003
Orland Park, IL 60462-6546

Phone

(708) 403-4544

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Richard A Eisaman, LCPC

Title

Owner

Phone

(708) 403-4544

Specialties & licenses 1

Addresses

Other names 1

• Awareness Connection Counseling Doing business as

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1124124169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601010387",
            "telephone_number": "708-403-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ORLAND SQUARE DR",
            "address_2": "SUITE 003",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626546",
            "telephone_number": "708-403-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD EISAMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "EISAMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-403-4544",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awareness Connection Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Revello Chiropractic DC SC
• John W. Revello, D.C.
• Joshua Michael Reyes, CCC-SLP
• Whal Ran Rhim Lavin, DDS
• Blair Andrew Rhode, M.D.
• Kristen Richard, PT, OCS
• Jill Richardson, PHARMD
• Melanie Rickert, BCBA
• Joelle Rickey, PHYSICIAN ASSISTANT
• Veronica Marie Ricobene, LCPC

• Mental Health Counselor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.