The Iris Impact Group, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180006685 Issued in IL

Legal business name

THE IRIS IMPACT GROUP, INC.

Practice address

41 E Main St
Suite 108
Lake Zurich, IL 60047-3413

Phone

(847) 337-1667

NPI assigned

Dec 8, 2007

Organization subpart

No

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

Authorized official

Name

Michael A Siri

Title

President

Phone

(847) 337-1659

Specialties & licenses 1

Addresses

Other names 1

• The IRIS Counseling Center, Inc. Doing business as

Locations

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

{
    "created_epoch": "1197072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251590400000",
    "number": "1235312604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21259 W SPRUCE RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600478718",
            "telephone_number": "847-337-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E MAIN ST",
            "address_2": "SUITE 108",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473413",
            "telephone_number": "847-337-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IRIS IMPACT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-08",
        "last_updated": "2009-08-30",
        "status": "A",
        "authorized_official_last_name": "SIRI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-337-1659"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The IRIS Counseling Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2009; 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.