Oakwoods Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.002670 Issued in IL

Legal business name

OAKWOODS CENTER

Practice address

23500 Western Ave
Park Forest, IL 60466-2612

Phone

(708) 481-5466

Fax

(708) 481-5466

NPI assigned

Apr 2, 2013

Last updated

Apr 2, 2013By 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

Ms. Lynn L Lidbury, MA LCPCNPI 1588679971

Title

Owner/Provider

Phone

(708) 481-5466

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

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.

• Lynn Laura Lidbury, M.A.

  • Mental Health Counselor
  • Park Forest, IL
  • NPI 1588679971
  Medicare reassignment NPD Authorized official
• Rieko Miyakuni, LPC

  • Professional Counselor
  • Park Forest, IL
  • NPI 1497574685
  NPD
• Kimberly Ann McArthur, MSW, LSW

  • Social Worker
  • Park Forest, IL
  • NPI 1437597408
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1194068742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 WESTERN AVE",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662612",
            "telephone_number": "708-481-5466",
            "fax_number": "708-481-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 WESTERN AVE",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662612",
            "telephone_number": "708-481-5466",
            "fax_number": "708-481-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOODS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "LIDBURY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "708-481-5466",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.002670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588679971",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Murphy
• Victor Thomas Needham Jr., MA,CRADC,NCC
• Stanley Nevels Jr.
• Alexia Newbern, LCPC
• Jennifer N Nwosu
• Melrose Ogunleye
• Oluwatoyin Ogunsola
• Tenisha Oliver
• Optimal Homecare Services, Incorporated
• Optimal Homecare Services, Incorporated

• Professional Counselor in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.