Ben Gordon Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MSW Issued in IL

Legal business name

BEN GORDON CENTER

Practice address

12 Health Services Dr
Dekalb, IL 60115-9637

Phone

(815) 756-4875

NPI assigned

Feb 24, 2014

Last updated

Feb 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl Munkvold

Title

Human Resources

Phone

(815) 756-4875

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1164847430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HEALTH SERVICES DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159637",
            "telephone_number": "815-756-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HEALTH SERVICES DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159637",
            "telephone_number": "815-756-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN GORDON CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "MUNKVOLD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "815-756-4875"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "MSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Davidson Becker, PH.D.
• Kathleen Marie Becket, COTA/L
• Emily Belcher, ATC
• Kaitlyn Marie Bell
• Ben Gordon Center
• Ben Gordon Center
• Ben Gordon Center
• Ben Gordon Center
• Judy Ann Bergsmith, RN-IBCLC
• Christopher John Berry, MD

• Mental Health Counselor in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.