Organization Active NPI

Nancy Mitchell LCPC LLC

  • Professional Counselor
  • Libertyville, IL
National Provider Identifier
1225428097
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005473 Issued in IL
Legal business name
NANCY MITCHELL LCPC LLC
Practice address
1580 S Milwaukee Ave Ste 512
Libertyville, IL 60048-3776
Phone
(847) 533-5706
NPI assigned
Jan 30, 2015
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Nancy Mitchell, LCPC
Title
Owner
Phone
(847) 533-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180005473 IL Primary

Addresses

Primary practice location

1580 S Milwaukee Ave Ste 512
Libertyville, IL 60048-3776

Mailing address

1416 Stevenson Dr
Libertyville, IL 60048-2571
Phone (847) 533-5706

National Provider Directory

National Provider Directory

Locations

1580 S Milwaukee Ave
Ste 512
Libertyville, IL 60048
Phone (847) 533-5706

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1225428097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 STEVENSON DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482571",
            "telephone_number": "847-533-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE STE 512",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483776",
            "telephone_number": "847-533-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MITCHELL LCPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-533-5706",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.