Organization Active NPI

Existential Counselor Society

  • Adult Mental Health Clinic/Center
  • Joliet, IL
National Provider Identifier
1316576200
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EXISTENTIAL COUNSELOR SOCIETY
Practice address
2319 Manhattan Rd
Joliet, IL 60433-8605
Phone
(708) 223-2698
Fax
(708) 487-0451
NPI assigned
Apr 3, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EXISTENTIAL COUNSELOR SOCIET LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Bipin Sharma, PHD, LCPCNPI 1053751719
Title
Owner
Phone
(708) 250-0520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2319 Manhattan Rd
Joliet, IL 60433-8605

Mailing address

2319 Manhattan Rd
Joliet, IL 60433-8605
Phone (708) 223-2698

National Provider Directory

National Provider Directory
Tax ID family
Existential Counselor Society5 organizations share this tax ID, including this one
Part of
Existential Counselor Society

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2319 Manhattan Rd
Joliet, IL 60433
Phone (312) 554-5431

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1316576200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 MANHATTAN RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604338605",
            "telephone_number": "708-223-2698",
            "fax_number": "708-487-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 MANHATTAN RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604338605",
            "telephone_number": "708-223-2698",
            "fax_number": "708-487-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXISTENTIAL COUNSELOR SOCIETY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXISTENTIAL COUNSELOR SOCIET LTD.",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "BIPIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-250-0520",
        "authorized_official_credential": "PHD, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.