Organization Active NPI

Diagnostic Services Associates, LTD.

  • Mental Health Counselor
  • Mokena, IL
National Provider Identifier
1336260272
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180002382 Issued in IL
Legal business name
DIAGNOSTIC SERVICES ASSOCIATES, LTD.
Practice address
18861 90TH Avenue
Suite C
Mokena, IL 60448-8371
Phone
(708) 422-3680
NPI assigned
Apr 2, 2007
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Ms. Charlene Crotty
Title
President
Phone
(708) 422-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180002382 IL Primary

Addresses

Primary practice location

18861 90TH Avenue
Suite C
Mokena, IL 60448-8371

Mailing address

18861 90TH Ave Ste C
Mokena, IL 60448-8178
Phone (708) 422-3680

National Provider Directory

National Provider Directory

Locations

18861 90th Ave
Ste C
Mokena, IL 60448
Phone (708) 422-3680

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1336260272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18861 90TH AVE STE C",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488178",
            "telephone_number": "708-422-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18861 90TH AVENUE",
            "address_2": "SUITE C",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488371",
            "telephone_number": "708-422-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC SERVICES ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "CROTTY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-422-3680",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180002382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.