Woodstock Therapist LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WOODSTOCK THERAPIST LLC

Practice address

1301 Pyott Rd Ste 101
Lake in the Hills, IL 60156-9795

Phone

(815) 236-3272

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Lindsay Keisman

Title

Director

Phone

(815) 236-3272

Specialties & licenses 3

Addresses

Tax ID family

Woodstock Therapist LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Woodstock Therapist LLC

  • Professional Counselor
  • Woodstock, IL
  • NPI 1003358037
  NPD tax ID
• Woodstock Therapist LLC

  • Adult Mental Health Clinic/Center
  • Elgin, IL
  • NPI 1164125621
  NPD tax ID

Locations

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1245933704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 101",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 101",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569795",
            "telephone_number": "815-236-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "KEISMAN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-236-3272"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Wickman
• Lauren Willard
• Kiersten Williams
• Kristofer Williams
• Kelsey Wipper
• Taylor Akiko Wright
• Kallie Yellets
• Elizabeth G Young Hill, PHARMD, LPC
• Pamela Zavada, LSW, BCBA
• Megan Zerfahs

• Adult Mental Health Clinic/Center in Lake in the Hills, IL
• Providers in Lake in the Hills, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.