Organization Active NPI

Meira Katzoff LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Skokie, IL
National Provider Identifier
1336787662
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MEIRA KATZOFF LCSW, LLC
Practice address
4905 Old Orchard Ctr Ste 510
Skokie, IL 60077-4736
Phone
(847) 410-9129
NPI assigned
Dec 17, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Meira Yael Katzoff, LCSWNPI 1205340841
Title
Owner
Phone
(847) 410-9129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4905 Old Orchard Ctr Ste 510
Skokie, IL 60077-4736

Mailing address

9043 Forestview Rd
Evanston, IL 60203-1912
Phone (414) 698-8525

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Simplepractice.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1336787662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9043 FORESTVIEW RD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031912",
            "telephone_number": "414-698-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR STE 510",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774736",
            "telephone_number": "847-410-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIRA KATZOFF LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "KATZOFF",
        "authorized_official_first_name": "MEIRA",
        "authorized_official_middle_name": "YAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-410-9129",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "A practice management and EHR Platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4905 Old Orchard Ctr Ste 510",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600774736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.