Organization Active NPI

Pendulum Counseling Services Corp

  • Mental Health Counselor
  • Bolingbrook, IL
National Provider Identifier
1205559945
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PENDULUM COUNSELING SERVICES CORP
Practice address
440 W Boughton Rd Ste 200D
Bolingbrook, IL 60440-4510
Phone
(331) 481-9885
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Ms. Cassandra Lynn Wegner, LCPCNPI 1497360697
Title
Registered Agent
Phone
(331) 481-9885

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

440 W Boughton Rd Ste 200D
Bolingbrook, IL 60440-4510

Mailing address

440 W Boughton Rd Ste 200D
Bolingbrook, IL 60440-4510
Phone (331) 481-9885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709004530 IL Part B Supplier - Clinic/Group Practice 8325583891 Receives reassigned benefits from 1 practitioner
Practice locations: Bolingbrook, IL

National Provider Directory

National Provider Directory

Locations

440 W Boughton Rd
Ste 200D
Bolingbrook, IL 60440
Phone (331) 481-9885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1205559945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD STE 200D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404510",
            "telephone_number": "331-481-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD STE 200D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404510",
            "telephone_number": "331-481-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDULUM COUNSELING SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "WEGNER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "331-481-9885",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.