NPIMap

Organization Active NPI

Beyond Awareness, LLC

  • Professional Counselor
  • Northbrook, IL
National Provider Identifier
1245883362
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BEYOND AWARENESS, LLC
Practice address
85 Revere Dr Ste B
Northbrook, IL 60062-8001
Phone
(872) 588-0687
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Katrina Lidik, LCPCNPI 1629500533
Title
Owner/Clinical Psychotherapist
Phone
(847) 305-9384

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

85 Revere Dr Ste B
Northbrook, IL 60062-8001

Mailing address

3523 Southport Dr
Island Lake, IL 60042-9143
Phone (847) 305-9384

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1245883362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 SOUTHPORT DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429143",
            "telephone_number": "847-305-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 REVERE DR STE B",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628001",
            "telephone_number": "872-588-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND AWARENESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "LIDIK",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-305-9384",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.