Organization Active NPI

P4 Counseling and Wellness Center, LLC

  • Mental Health Counselor
  • Mount Prospect, IL
National Provider Identifier
1235636929
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
P4 COUNSELING AND WELLNESS CENTER, LLC
Practice address
401 E Prospect Ave Ste 208
Mount Prospect, IL 60056-3396
Phone
(847) 922-5278
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Patrick McKee, LCPCNPI 1679852859
Title
Owner
Phone
(847) 922-5278

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

401 E Prospect Ave Ste 208
Mount Prospect, IL 60056-3396

Mailing address

401 E Prospect Ave Ste 208
Mount Prospect, IL 60056-3396
Phone (847) 922-5278

National Provider Directory

National Provider Directory

Locations

401 E Prospect Ave
Ste 208
Mount Prospect, IL 60056
Phone (734) 476-9712

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1235636929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E PROSPECT AVE STE 208",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563396",
            "telephone_number": "847-922-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E PROSPECT AVE STE 208",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563396",
            "telephone_number": "847-922-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P4 COUNSELING AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-922-5278",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.