NPIMap

Organization Active NPI

Timothy L. Clarl, LCSW, P.C.

  • Mental Health Counselor
  • Des Plaines, IL
National Provider Identifier
1285038422
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TIMOTHY L. CLARL, LCSW, P.C.
Practice address
880 Lee St
Suite 208
Des Plaines, IL 60016-6420
Phone
(847) 298-8830
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Timothy Lew Clark, LCSW, LCPC, CSADC, SNPI 1609966415
Title
President
Phone
(847) 827-9274

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

880 Lee St
Suite 208
Des Plaines, IL 60016-6420

Mailing address

880 Lee St
Suite 208
Des Plaines, IL 60016-6420
Phone (847) 298-8830

National Provider Directory

National Provider Directory

Locations

880 Lee St
Ste 208
Des Plaines, IL 60016
Phone (847) 298-8830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1285038422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 LEE ST",
            "address_2": "SUITE 208",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166420",
            "telephone_number": "847-298-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 LEE ST",
            "address_2": "SUITE 208",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166420",
            "telephone_number": "847-298-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L. CLARL, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-827-9274",
        "authorized_official_credential": "LCSW, LCPC, CSADC, S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.