NPIMap

Organization Active NPI

The Aspen Center for Counseling and Consultation LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1225230378
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007178 Issued in IL
Legal business name
THE ASPEN CENTER FOR COUNSELING AND CONSULTATION LLC
Practice address
30 N Michigan Ave
Suite 925
Chicago, IL 60601-3463
Phone
(312) 540-8977
NPI assigned
Jun 1, 2007
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Dr. Alisa Matteson Mundt, PSYDNPI 1598967705
Title
Manager
Phone
(312) 540-8977

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
Clinical Psychologist 103TC0700X 071.007178 IL Primary

Addresses

Primary practice location

30 N Michigan Ave
Suite 925
Chicago, IL 60601-3463

Mailing address

30 N Michigan Ave
Suite 925
Chicago, IL 60602-3402
Phone (312) 540-8977

National Provider Directory

National Provider Directory
Tax ID family
The Aspen Center for Counseling and Consultation LLC2 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.

Practitioners & affiliated clinicians

Practitioners 11

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1225230378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 925",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-540-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 925",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013463",
            "telephone_number": "312-540-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ASPEN CENTER FOR COUNSELING AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "MUNDT",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "MATTESON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-540-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.