Breath of Life Christian Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BREATH OF LIFE CHRISTIAN COUNSELING LLC

Practice address

495 N Il Route 21 Ste 101
Gurnee, IL 60031-5919

Phone

(847) 416-0135

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Parsons, MACC LCPCNPI 1124347570

Title

Owner/Therapist

Phone

(847) 416-0135

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shannon L Parsons, MA, LPC

  • Mental Health Counselor
  • Gurnee, IL
  • NPI 1124347570
  NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1326870262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 CONTINENTAL DR",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600871804",
            "telephone_number": "847-878-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N IL ROUTE 21 STE 101",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315919",
            "telephone_number": "847-416-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE CHRISTIAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "847-416-0135",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MACC LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley C. Rule, DDS, P.C.
• Ryan Bradley, PSYD
• Nicole Brandonisio
• Annette J Brandt, CRC, LPC
• Rebekah Arletta Braslow, M.D.
• Bright Horizons Pediatrics
• Brightstar Healthcare
• Brightstar Healthcare
• Wendy M Broekema, MS, RDN
• Bruce Allen Brown, M.D.

• Professional Counselor in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.