Active NPI
Wunderlich Counseling & Consulting LTD.
- Professional Counselor
- Long Grove, IL
National Provider Identifier
1265159115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- WUNDERLICH COUNSELING & CONSULTING LTD.
- Practice address
- 4160 Il Route 83 Ste 204
Long Grove, IL 60047-8034 - Phone
- (847) 380-4806
- NPI assigned
- Oct 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond C Wunderlich Jr., LCPC
- Title
- Owner & President
- Phone
- (847) 380-4806
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4160 Il Route 83 Ste 204
Long Grove, IL 60047-8034
Mailing address
318 W Half Day Road
PMB 284
Buffalo Grove, IL 60089
Phone (847) 380-4806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Long Grove, IL
- NPI 1912038910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666310400000",
"number": "1265159115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 W HALF DAY ROAD",
"address_2": "PMB 284",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "60089",
"telephone_number": "847-380-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 IL ROUTE 83 STE 204",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600478034",
"telephone_number": "847-380-4806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WUNDERLICH COUNSELING & CONSULTING LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-21",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A",
"authorized_official_last_name": "WUNDERLICH",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER & PRESIDENT",
"authorized_official_telephone_number": "847-380-4806",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.