New Foundation Center, Inc,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

04147 Issued in IL

Legal business name

NEW FOUNDATION CENTER, INC,

Practice address

444 W Frontage Rd
Northfield, IL 60093-3009

Phone

(847) 501-2939

Fax

(847) 501-4803

NPI assigned

Dec 19, 2006

Last updated

Sep 20, 2012By 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

Susan M Shimon

Title

Executive Director

Phone

(847) 501-2839

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WilPower, Inc. Former legal business name

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1174686083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W FRONTAGE RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933009",
            "telephone_number": "847-501-2939",
            "fax_number": "847-501-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W FRONTAGE RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933009",
            "telephone_number": "847-501-2939",
            "fax_number": "847-501-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW FOUNDATION CENTER, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "SHIMON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-501-2839"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "04147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632232",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WilPower, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Northfield, IL
• Providers in Northfield, 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 Sep 20, 2012; 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.