Organization Active NPI

Villanueva Khan Conseling PLLC

  • Mental Health Counselor
  • Joliet, IL
National Provider Identifier
1205664042
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VILLANUEVA KHAN CONSELING PLLC
Doing business as
Villanueva Khan Conseling PLLC
Practice address
310 N Hammes Ave Ste 201C
Joliet, IL 60435-8118
Phone
(815) 806-7222
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
M Rosario Villanueva-Khan, LCPC, ICDVP, CADC
Title
President
Phone
(708) 351-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

310 N Hammes Ave Ste 201C
Joliet, IL 60435-8118

Mailing address

11311 Brook Crossing Dr
Orland Park, IL 60467-4474
Phone (708) 351-4686

Other names 1

  • VILLANUEVA KHAN CONSELING PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

310 N Hammes Ave
Ste 201C
Joliet, IL 60435
Phone (815) 806-7222

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1205664042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BROOK CROSSING DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674474",
            "telephone_number": "708-351-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE STE 201C",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358118",
            "telephone_number": "815-806-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLANUEVA KHAN CONSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA-KHAN",
        "authorized_official_first_name": "M ROSARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-351-4686",
        "authorized_official_credential": "LCPC, ICDVP, CADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLANUEVA KHAN CONSELING PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.