NPIMap

Organization Active NPI

Nexus Counseling Services, LLC

  • Mental Health Counselor
  • Homewood, IL
National Provider Identifier
1245710821
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180011166 Issued in IL
Legal business name
NEXUS COUNSELING SERVICES, LLC
Practice address
1800 Ridge Rd Ste 3
Homewood, IL 60430-1723
Phone
(773) 357-6361
NPI assigned
Aug 14, 2018
Last updated
Aug 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Kyle Raymond Miller, LCPCNPI 1992008601
Title
Director/LCPC
Phone
(773) 357-6361

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 Counselor 101YM0800X 180011166 IL Primary

Addresses

Primary practice location

1800 Ridge Rd Ste 3
Homewood, IL 60430-1723

Mailing address

1756 Burr Oak Rd
Homewood, IL 60430-1811
Phone (773) 771-7138

National Provider Directory

National Provider Directory
Tax ID family
Nexus Counseling Service 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.

Locations

1800 Ridge Rd
Ste 3
Homewood, IL 60430
Phone (773) 357-6361

Practitioners & affiliated clinicians

Practitioners 4

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": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1245710821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 BURR OAK RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301811",
            "telephone_number": "773-771-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RIDGE RD STE 3",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301723",
            "telephone_number": "773-357-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR/LCPC",
        "authorized_official_telephone_number": "773-357-6361",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.