Active NPI
Leyden Dupage Counseling Service
- Mental Health Counselor
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180010256
- Legal business name
- LEYDEN DUPAGE COUNSELING SERVICE
- Practice address
- 7350 W College Dr
Suite 108a
Palos Heights, IL 60463-1149 - Phone
- (630) 368-9100
- Fax
- (630) 990-0506
- NPI assigned
- May 27, 2016
- 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
- Richard Cunningham, LCSW
- Title
- Executive Director
- Phone
- (630) 368-9100
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180010256 | IL | Primary |
Addresses
Primary practice location
7350 W College Dr
Suite 108a
Palos Heights, IL 60463-1149
Mailing address
1010 Jorie Blvd
Suite 12
Oak Brook, IL 60523-2215
Phone (630) 368-9100
National Provider Directory
National Provider Directory- Tax ID family
- Leyden Dupage Counseling Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Oak Brook, IL
- NPI 1235533431
Locations
7350 W College Dr
Ste 108A
Palos Heights, IL 60463
Phone (708) 808-7388
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Oak Brook, IL
- NPI 1487878591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464307200000",
"number": "1306294525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 JORIE BLVD",
"address_2": "SUITE 12",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232215",
"telephone_number": "630-368-9100",
"fax_number": "630-990-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 W COLLEGE DR",
"address_2": "SUITE 108A",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631149",
"telephone_number": "630-368-9100",
"fax_number": "630-990-0506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEYDEN DUPAGE COUNSELING SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "630-368-9100",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180010256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.