Organization Active NPI

Smebakken, LTD.

  • Community/Behavioral Health Agency
  • Arlington Heights, IL
National Provider Identifier
1306036918
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1609875616OtherILNPI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.