Individual provider Active NPI

Pauline K Limberg, LPC, MA, MDIV

  • Mental Health Counselor
  • Buffalo Grove, IL
National Provider Identifier
1265253744
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.020733 Issued in IL
Practice address
1110 W Lake Cook Rd Ste 152
Buffalo Grove, IL 60089-1997
Phone
(847) 497-0008
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.020733 IL Primary

Addresses

Primary practice location

1110 W Lake Cook Rd Ste 152
Buffalo Grove, IL 60089-1997

Mailing address

2312 Birchwood Ave
Wilmette, IL 60091-2348
Phone (630) 674-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.020733ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1265253744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 BIRCHWOOD AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912348",
            "telephone_number": "630-674-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD STE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891997",
            "telephone_number": "847-497-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMBERG",
        "first_name": "PAULINE",
        "middle_name": "K",
        "credential": "LPC, MA, MDIV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

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