NPIMap

Organization Active NPI

Advanced Counseling and Assessment Services Inc

  • Clinical Psychologist
  • Crest Hill, IL
National Provider Identifier
1306985296
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007866 Issued in IL
Legal business name
ADVANCED COUNSELING AND ASSESSMENT SERVICES INC
Practice address
2208 Weber Rd
Suite B
Crest Hill, IL 60403-0961
Phone
(815) 630-3159
Fax
(815) 666-1310
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Joan Catherine Wise, PSY.D.
Title
Therapist
Phone
(815) 360-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071.007866 IL Primary

Addresses

Primary practice location

2208 Weber Rd
Suite B
Crest Hill, IL 60403-0961

Mailing address

2208 Weber Rd
Suite B
Crest Hill, IL 60403-0961
Phone (815) 630-3159

National Provider Directory

National Provider Directory

Locations

525 E North St
Ste B
Bradley, IL 60915
Phone (815) 802-7787

2208 Weber Rd
Ste B
Crest Hill, IL 60403
Phone (815) 630-3159

15409 S Route 59
#C
Plainfield, IL 60544
Phone (815) 254-8999

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1306985296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 WEBER RD",
            "address_2": "SUITE B",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030961",
            "telephone_number": "815-630-3159",
            "fax_number": "815-666-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 WEBER RD",
            "address_2": "SUITE B",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030961",
            "telephone_number": "815-630-3159",
            "fax_number": "815-666-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COUNSELING AND ASSESSMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "815-360-3159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.