Active NPI
Everest Counseling LLC
- Clinical Social Worker
- Montgomery, IL
National Provider Identifier
1154021095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EVEREST COUNSELING LLC
- Practice address
- 2167 Rebecca Cir
Montgomery, IL 60538-5008 - Phone
- (630) 803-4847
- NPI assigned
- Mar 8, 2023
- Last updated
- Mar 8, 2023
- 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
- Jaclyn Harwey, LCSW
- Title
- Owner/Therapist
- Phone
- (630) 803-4847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2167 Rebecca Cir
Montgomery, IL 60538-5008
Mailing address
2167 Rebecca Cir
Montgomery, IL 60538-5008
Phone (630) 803-4847
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Naperville, IL
- NPI 1528333226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1154021095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2167 REBECCA CIR",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605385008",
"telephone_number": "630-803-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2167 REBECCA CIR",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605385008",
"telephone_number": "630-803-4847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVEREST COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A",
"authorized_official_last_name": "HARWEY",
"authorized_official_first_name": "JACLYN",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "630-803-4847",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.