Active NPI
Smebakken, LTD.
- Community/Behavioral Health Agency
- Arlington Heights, IL
National Provider Identifier
1306036918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SMEBAKKEN, LTD.
- Practice address
- 125 S Wilke Rd Ste 200a
Arlington Heights, IL 60005-1522 - Phone
- (847) 870-0771
- NPI assigned
- Jul 30, 2007
- Last updated
- Jul 30, 2007
- 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
- Lessi Smebakken, L.C.S.W., .CA.D.C.
- Title
- President
- Phone
- (847) 870-0771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | IL | Primary |
Addresses
Primary practice location
125 S Wilke Rd Ste 200a
Arlington Heights, IL 60005-1522
Mailing address
125 S Wilke Rd Ste 200a
Arlington Heights, IL 60005-1522
Phone (847) 870-0771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609875616 | Other | IL | NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185753600000",
"number": "1306036918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S WILKE RD STE 200A",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051522",
"telephone_number": "847-870-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S WILKE RD STE 200A",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051522",
"telephone_number": "847-870-0771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMEBAKKEN, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A",
"authorized_official_last_name": "SMEBAKKEN",
"authorized_official_first_name": "LESSI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-870-0771",
"authorized_official_credential": "L.C.S.W., .CA.D.C."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1609875616",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.