Organization Active NPI

Cutting Edge Counseling of the North Shore

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1275171654
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CUTTING EDGE COUNSELING OF THE NORTH SHORE
Practice address
3000 Dundee Rd Ste 205
Northbrook, IL 60062-2432
Phone
(847) 525-7074
Fax
(847) 777-0563
NPI assigned
Dec 16, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Allyson Bremer, LCSWNPI 1699195826
Title
Owner
Phone
(847) 525-7074

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3000 Dundee Rd Ste 205
Northbrook, IL 60062-2432

Mailing address

47 Park View LN
Hawthorn Woods, IL 60047-8968
Phone (847) 525-7074

National Provider Directory

National Provider Directory

Locations

3000 Dundee Rd
Ste 205
Northbrook, IL 60062
Phone (847) 306-6477

Practitioners & affiliated clinicians

Practitioners 3

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1275171654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PARK VIEW LN",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600478968",
            "telephone_number": "847-525-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 205",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622432",
            "telephone_number": "847-525-7074",
            "fax_number": "847-777-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE COUNSELING OF THE NORTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "BREMER",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-525-7074",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.