Organization Active NPI

Behavioral Pain Management, LLC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1154740975
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.005140 Issued in IL
Legal business name
BEHAVIORAL PAIN MANAGEMENT, LLC
Practice address
1220 Hobson Road
Suite 244
Naperville, IL 60540
Phone
(815) 931-0047
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mr. Ajeet S Charate, LCPC, BCN, CADC
Title
Manager / Clinician
Phone
(815) 931-0047

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.005140 IL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070009590 IL

Addresses

Primary practice location

1220 Hobson Road
Suite 244
Naperville, IL 60540

Mailing address

12901 Norwich St
Plainfield, IL 60585-7908
Phone (815) 230-4707

National Provider Directory

National Provider Directory

Locations

1250 N Mill St
Ste 102B
Naperville, IL 60563

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": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1154740975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 NORWICH ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605857908",
            "telephone_number": "815-230-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HOBSON ROAD",
            "address_2": "SUITE 244",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "815-931-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "CHARATE",
        "authorized_official_first_name": "AJEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER / CLINICIAN",
        "authorized_official_telephone_number": "815-931-0047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC, BCN, CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005140",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.