NPIMap

Organization Active NPI

North Shore Dance Therapy, Inc.

  • Professional Counselor
  • Deerfield, IL
National Provider Identifier
1205174158
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007870 Issued in IL
Legal business name
NORTH SHORE DANCE THERAPY, INC.
Practice address
1516 Greenwood Ave
Deerfield, IL 60015-2714
Phone
(847) 848-0697
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Erica Joy Hornthal, MA, LCPC, BC-DMTNPI 1992092480
Title
Ceo/Psychotherapist
Phone
(847) 848-0697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.007870 IL Primary

Addresses

Primary practice location

1516 Greenwood Ave
Deerfield, IL 60015-2714

Mailing address

1516 Greenwood Ave
Deerfield, IL 60015-2714

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1205174158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 GREENWOOD AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 GREENWOOD AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152714",
            "telephone_number": "847-848-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE DANCE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "HORNTHAL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-848-0697",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC, BC-DMT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.