Mosaic Therapy Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007758 Issued in IL

Legal business name

MOSAIC THERAPY INC

Practice address

4700 Old Orchard Rd
Apt 211
Skokie, IL 60076-1061

Phone

(312) 799-9351

NPI assigned

Oct 13, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Veronica Vyazovsky, LPC

Title

President

Phone

(312) 799-9351

Specialties & licenses 1

Addresses

Tax ID family

Mosaic Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mosaic Therapy

  • Community/Behavioral Health Agency
  • Morton Grove, IL
  • NPI 1366899668
  NPD tax ID

Practitioners 1

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

• Veronica D Zamir, LCPC

  • Mental Health Counselor
  • Highland Park, IL
  • NPI 1275815508
  NPD (past)

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1215212972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 OLD ORCHARD RD",
            "address_2": "APT 211",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 OLD ORCHARD RD",
            "address_2": "APT 211",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761061",
            "telephone_number": "312-799-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "VYAZOVSKY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-799-9351",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Kennedy Morris, MA, CCC-SLP
• Michelle Doniece Morrone-Kubes, PSY.D.
• Julia Elizabeth Morrow, LSW
• Morton Miller, M.D.
• Nehama Maman Morton, LCSW
• Maria Claudia Moscoso Cordero, M.D
• Adella Moss, LMFT-A
• Aundrea Moss, LCSW, CADC
• Nani Phillips Moss, MD
• Motek Counseling

• Professional Counselor in Skokie, IL
• Providers in Skokie, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.