Organization Active NPI

PBR Family Consulting, Inc.

  • Clinical Social Worker
  • Mount Prospect, IL
National Provider Identifier
1306246566
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149001220 Issued in IL
Legal business name
PBR FAMILY CONSULTING, INC.
Practice address
200 E Evergreen Ave Ste 112
Mount Prospect, IL 60056-3240
Phone
(847) 255-4055
Fax
(847) 577-5066
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Paula B Randant, LCSW
Title
Director/Psychotherapist
Phone
(847) 255-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149001220 IL Primary

Addresses

Primary practice location

200 E Evergreen Ave Ste 112
Mount Prospect, IL 60056-3240

Mailing address

200 E Evergreen Ave Ste 112
Mount Prospect, IL 60056-3240
Phone (847) 255-4055

Other names 1

  • Paula B Randant, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

200 E Evergreen Ave
Ste 112
Mount Prospect, IL 60056
Phone (847) 255-4055

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1306246566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E EVERGREEN AVE STE 112",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563240",
            "telephone_number": "847-255-4055",
            "fax_number": "847-577-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E EVERGREEN AVE STE 112",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563240",
            "telephone_number": "847-255-4055",
            "fax_number": "847-577-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBR FAMILY CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "RANDANT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-255-4055",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paula B Randant, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.