Active NPI
Intermission Therapies, LTD.
- Clinical Social Worker
- Geneva, IL
National Provider Identifier
1124125752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INTERMISSION THERAPIES, LTD.
- Practice address
- 22 Crissey Ave Ste 200
Geneva, IL 60134-2351 - Phone
- (630) 232-7770
- NPI assigned
- Sep 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marie S Egeland, LCSW
- Title
- President
- Phone
- (630) 232-7770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
22 Crissey Ave Ste 200
Geneva, IL 60134-2351
Mailing address
22 Crissey Ave Ste 200
Geneva, IL 60134-2351
Phone (630) 232-7770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
22 Crissey Ave
Ste 200
Geneva, IL 60134
Phone (630) 232-7770
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Geneva, IL
- NPI 1578646451
-
- Professional Counselor
- Aurora, IL
- NPI 1194835702
-
- Clinical Social Worker
- Geneva, IL
- NPI 1407025398
-
- Psychiatry Physician
- Wheaton, IL
- NPI 1417911744
-
- Gastroenterology Physician
- Westmont, IL
- NPI 1083036792
-
- Registered Dietitian
- Geneva, IL
- NPI 1578885596
-
- Clinical Social Worker
- Geneva, IL
- NPI 1740396522
-
- Mental Health Counselor
- Geneva, IL
- NPI 1043393937
-
- Professional Counselor
- South Elgin, IL
- NPI 1992002299
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1689864407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426636800000",
"number": "1124125752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CRISSEY AVE STE 200",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342351",
"telephone_number": "630-232-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CRISSEY AVE STE 200",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342351",
"telephone_number": "630-232-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERMISSION THERAPIES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2015-03-18",
"status": "A",
"authorized_official_last_name": "EGELAND",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-232-7770",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.