Midwest Dialectical Behavior Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIDWEST DIALECTICAL BEHAVIOR THERAPY, LLC

Doing business as

d/b/a Midwest Dialectical Behavior Therapy, PLLC

Practice address

2501 Chatham Rd Ste N
Springfield, IL 62704-4188

Phone

(616) 328-6109

Fax

(616) 328-6529

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Lauren Barris, LCSWNPI 1093224024

Title

Practice Owner/Psychotherapist

Phone

(616) 328-6109

Specialties & licenses 1

Addresses

Other names 1

• d/b/a Midwest Dialectical Behavior Therapy, PLLC Doing business as

Practitioners 1

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

• Lauren Leigh Barris, LCSW

  • Clinical Social Worker
  • Springfield, IL
  • NPI 1093224024
  NPD Authorized official

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1255156501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-328-6109",
            "fax_number": "616-328-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE N",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "616-328-6109",
            "fax_number": "616-328-6529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Kenmoor Ave SE Ste 301",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462395",
            "country_code": "US",
            "telephone_number": "616-328-6109",
            "fax_number": "616-328-6529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST DIALECTICAL BEHAVIOR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "BARRIS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRACTICE OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "616-328-6109",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Midwest Dialectical Behavior Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.