Julia M Hogan, LCPC

Individual provider Active NPI Professional Counselor · Rosemont, IL

NPI 1184019291 · NPPES record last updated Nov 14, 2018

Key facts

NPI
1184019291
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
178010105 (IL)
Practice address
5600 N River Rd Ste 800
Rosemont, IL 60018-5166
Phone
(872) 216-5549
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
178010105ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Optimum Counseling and Consulting, LLC Current Accepting new patients

Locations

5600 N River Rd
Ste 800
Rosemont, IL 60018
Phone (847) 322-0756

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178010105 IL Yes

Addresses

Primary practice location

5600 N River Rd Ste 800
Rosemont, IL 60018-5166

Mailing address

5600 N River Rd Ste 800
Rosemont, IL 60018-5166
Phone (872) 216-5549

Other identifiers

IdentifierTypeStateIssuer
180.011304OtherILSTATE LICENSE

Other providers in Rosemont, IL

All providers in Rosemont, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.