Active NPI
Eryn Smith-Moeller LCPC
- Professional Counselor
- Aurora, IL
National Provider Identifier
1265809164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.008898
- 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, 2015
- 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
- Mrs. Eryn Heather Smith-Moeller, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryPractitioners & 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.
-
- Professional Counselor
- Chicago, IL
- NPI 1700203254
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.