NPIMap

Organization Active NPI

Fox Bend Counseling

  • Mental Health Counselor
  • Oswego, IL
National Provider Identifier
1134554827
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180008716 Issued in IL
Legal business name
FOX BEND COUNSELING
Practice address
123 W Washington St
Suite 321
Oswego, IL 60543-8214
Phone
(630) 383-2077
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Mr. Anthony Kokalj, MA,LCPC
Title
Owner
Phone
(815) 436-5739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180008716 IL Primary

Addresses

Primary practice location

123 W Washington St
Suite 321
Oswego, IL 60543-8214

Mailing address

123 W Washington St
Oswego, IL 60543-8214
Phone (630) 383-2077

Other names 1

  • Fox Bend Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

123 W Washington St
Oswego, IL 60543
Phone (630) 383-2077

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1134554827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W WASHINGTON ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438214",
            "telephone_number": "630-383-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W WASHINGTON ST",
            "address_2": "SUITE 321",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438214",
            "telephone_number": "630-383-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX BEND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "KOKALJ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-436-5739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA,LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Bend Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.