NPIMap

Organization Active NPI

Morning Star Counseling Services, Inc.

  • PACE Provider Organization
  • Evanston, IL
National Provider Identifier
1154509883
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
MORNING STAR COUNSELING SERVICES, INC.
Practice address
918 Wesley Ave
Evanston, IL 60202-1655
Phone
(847) 866-9067
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Jerry Jerome Klinkner, LCSW
Title
Owner
Phone
(847) 866-9067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X IL Primary

Addresses

Primary practice location

918 Wesley Ave
Evanston, IL 60202-1655

Mailing address

918 Wesley Ave
Evanston, IL 60202-1655
Phone (847) 866-9067

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1154509883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 WESLEY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021655",
            "telephone_number": "847-866-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 WESLEY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021655",
            "telephone_number": "847-866-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "KLINKNER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-866-9067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.