Organization Active NPI

The Mental Difference

  • Mental Health Counselor
  • Oak Brook, IL
National Provider Identifier
1336507532
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE MENTAL DIFFERENCE
Practice address
125 Windsor Dr Ste 103
Oak Brook, IL 60523-4073
Phone
(312) 282-1770
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Mr. Andrew C Joy, LCPC
Title
President/ Clinician
Phone
(312) 282-1770

Specialties & licenses 1

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

Addresses

Primary practice location

125 Windsor Dr Ste 103
Oak Brook, IL 60523-4073

Mailing address

506 Royal Oaks Dr
Wood Dale, IL 60191-2417
Phone (312) 282-1770

Other practice location 1

1 E Oakhill Dr
Westmont, IL 60559-5562
Phone (312) 282-1770

Other practice location 2

9933 Lawler Ave Ste 324
Skokie, IL 60077-3730
Phone (312) 282-1770

National Provider Directory

National Provider Directory

Locations

125 Windsor Dr
Ste 103
Oak Brook, IL 60523
Phone (312) 282-1770

1 E Oakhill Dr
Westmont, IL 60559
Phone (312) 282-1770

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1336507532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ROYAL OAKS DR",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912417",
            "telephone_number": "312-282-1770",
            "fax_number": "630-455-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WINDSOR DR STE 103",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234073",
            "telephone_number": "312-282-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Oakhill Dr",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605595562",
            "country_code": "US",
            "telephone_number": "312-282-1770",
            "fax_number": "630-455-1865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9933 Lawler Ave Ste 324",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600773730",
            "country_code": "US",
            "telephone_number": "312-282-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MENTAL DIFFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/ CLINICIAN",
        "authorized_official_telephone_number": "312-282-1770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.