Organization Active NPI

Eryn Smith-Moeller LCPC

  • Professional Counselor
  • Aurora, IL
National Provider Identifier
1265809164
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008898 Issued in IL
Legal business name
ERYN SMITH-MOELLER LCPC
Practice address
60 Heather Glen Dr
Aurora, IL 60504-6686
Phone
(847) 660-3393
NPI assigned
Aug 26, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Mrs. Eryn Heather Smith-Moeller, LCPCNPI 1700203254
Title
Psychotherapist
Phone
(708) 571-0082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.008898 IL Primary

Addresses

Primary practice location

60 Heather Glen Dr
Aurora, IL 60504-6686

Mailing address

639 S Washington St
Naperville, IL 60540-6643
Phone (708) 571-0082

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": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1265809164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406643",
            "telephone_number": "708-571-0082",
            "fax_number": "630-428-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HEATHER GLEN DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046686",
            "telephone_number": "847-660-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERYN SMITH-MOELLER LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "SMITH-MOELLER",
        "authorized_official_first_name": "ERYN",
        "authorized_official_middle_name": "HEATHER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "708-571-0082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.