NPIMap

Organization Active NPI

MTW Clinical Therapy Services

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1205284767
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010299 Issued in IL
Legal business name
MTW CLINICAL THERAPY SERVICES
Practice address
1250 N Mill St Ste 102a
Naperville, IL 60563-6305
Phone
(630) 618-0812
Fax
(630) 246-6046
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Melissa Theresa Woolever, LCPCNPI 1538521638
Title
Owner
Phone
(630) 618-0812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180010299 IL Primary

Addresses

Primary practice location

1250 N Mill St Ste 102a
Naperville, IL 60563-6305

Mailing address

1250 N Mill St Ste 102a
Naperville, IL 60563-6305
Phone (630) 618-0812

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": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1205284767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST STE 102A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636305",
            "telephone_number": "630-618-0812",
            "fax_number": "630-246-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST STE 102A",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636305",
            "telephone_number": "630-618-0812",
            "fax_number": "630-246-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTW CLINICAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "WOOLEVER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-618-0812",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.