Active NPI
PBR Family Consulting, Inc.
- Clinical Social Worker
- Mount Prospect, IL
National Provider Identifier
1306246566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149001220
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.