Active NPI
Christine E Fohs, M.S.
- Professional Counselor
- Park Ridge, IL
National Provider Identifier
1194972646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180003187
- Practice address
- 2604 Dempster St
Suite 510
Park Ridge, IL 60068-8412 - Phone
- (847) 824-1235
- Fax
- (847) 824-2386
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180003187 | IL | Primary |
Addresses
Primary practice location
2604 Dempster St
Suite 510
Park Ridge, IL 60068-8412
Mailing address
2604 Dempster St
Suite 510
Park Ridge, IL 60068-8412
Phone (847) 824-1235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180003187 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1194972646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 DEMPSTER ST",
"address_2": "SUITE 510",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600688412",
"telephone_number": "847-824-1235",
"fax_number": "847-824-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 DEMPSTER ST",
"address_2": "SUITE 510",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600688412",
"telephone_number": "847-824-1235",
"fax_number": "847-824-2386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOHS",
"first_name": "CHRISTINE",
"middle_name": "E",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180003187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.