Essential Elements Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.009144 Issued in IL

Legal business name

ESSENTIAL ELEMENTS COUNSELING

Practice address

402 W Boughton Rd
Suite G
Bolingbrook, IL 60440-1872

Phone

(312) 971-6653

Fax

(888) 559-6640

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Brenda White, LCPCNPI 1134457476

Title

Owner

Phone

(312) 971-6653

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Brenda K. White, LCPC

  • Professional Counselor
  • Bolingbrook, IL
  • NPI 1134457476
  NPD (past) Authorized official

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1124498266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W BOUGHTON RD",
            "address_2": "SUITE G",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401872",
            "telephone_number": "312-971-6653",
            "fax_number": "888-559-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W BOUGHTON RD",
            "address_2": "SUITE G",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401872",
            "telephone_number": "312-971-6653",
            "fax_number": "888-559-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL ELEMENTS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-971-6653",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.009144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "180.009144",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Encalm Psychiatry
• Gerald G Enriquez, PHARM.D.
• Epic Surgical Solutions LLC
• Jillian Erlechman, RDN
• Bernard K Eshun, DC
• Essential Health Services 1 LLC
• Adeline Essien, MD
• Chona Estacio, LAC
• Joanne Evans-Smith, OT
• Everwell Wound Care, P.C.

• Community/Behavioral Health Agency in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.