Integra Clinical

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTEGRA CLINICAL

Practice address

302 Gayle Ave
Dekalb, IL 60115-4320

Phone

(779) 702-5663

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Margo Milano, PHDNPI 1609117019

Title

Director

Phone

(779) 702-5663

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margo Milano, LCPC, NCC, CFLE

  • Professional Counselor
  • Dekalb, IL
  • NPI 1609117019
  NPD Authorized official

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1316797707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 GAYLE AVE",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154320",
            "telephone_number": "779-702-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 GAYLE AVE",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154320",
            "telephone_number": "779-702-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA CLINICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "MILANO",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "779-702-5663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.