NPIMap

Organization Active NPI

Inner Fire Counseling, LLC

  • Marriage & Family Therapist
  • Oswego, IL
National Provider Identifier
1245773910
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000917 Issued in IL
Legal business name
INNER FIRE COUNSELING, LLC
Practice address
123 W Washington St
Suite 325
Oswego, IL 60543-8254
Phone
(630) 383-7050
Fax
(630) 383-7050
NPI assigned
Nov 29, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Bradley Andrew Procek
Title
Marriage and Family Therapist
Phone
(630) 383-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166000917 IL Primary

Addresses

Primary practice location

123 W Washington St
Suite 325
Oswego, IL 60543-8254

Mailing address

123 W Washington St
Suite 325
Oswego, IL 60543-8254
Phone (630) 383-7050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1245773910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W WASHINGTON ST",
            "address_2": "SUITE 325",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438254",
            "telephone_number": "630-383-7050",
            "fax_number": "630-383-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W WASHINGTON ST",
            "address_2": "SUITE 325",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438254",
            "telephone_number": "630-383-7050",
            "fax_number": "630-383-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER FIRE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "PROCEK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "630-383-7050"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.