Mental and Emotional Healing Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENTAL AND EMOTIONAL HEALING THERAPY PLLC

Practice address

737 Garfield Ave Apt B
Libertyville, IL 60048-3187

Phone

(224) 725-3004

NPI assigned

May 9, 2022

Last updated

May 10, 2022By 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

Mr. Daniel Campos, LCPCNPI 1790125177

Title

Owner

Phone

(847) 220-4994

Specialties & licenses 1

Addresses

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.

• Daniel Campos, LCPC

  • Mental Health Counselor
  • Libertyville, IL
  • NPI 1790125177
  NPD Authorized official

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1174269542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 GARFIELD AVE APT B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483187",
            "telephone_number": "847-220-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 GARFIELD AVE APT B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483187",
            "telephone_number": "224-725-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL AND EMOTIONAL HEALING THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-220-4994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mella
• Sydney Alexa Mella, LAT, ATC
• Mark Howard Menke, LPC
• Oksana Mensheha, M.D.
• Joel Robert Mensing, D.O.
• Mental Health Revolution PLLC
• Meridian Home Health Care Services, Inc.
• Eleanor B Merrill Chudy, DDS
• Arlene Ann Messner -Peters, LCSW MSW
• Kimberly Paige Metnick

• Mental Health Counselor in Libertyville, IL
• Providers in Libertyville, 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 May 10, 2022; 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.