Organization Active NPI

Compassionate Life Counseling

  • Mental Health Counselor
  • Buffalo Grove, IL
National Provider Identifier
1336849538
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMPASSIONATE LIFE COUNSELING
Practice address
1110 W Lake Cook Rd Ste 152
Buffalo Grove, IL 60089-1997
Phone
(847) 250-7029
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Kristin K. Moorhouse, LCPCNPI 1538285044
Title
Owner/Counselor
Phone
(847) 250-7029

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1110 W Lake Cook Rd Ste 152
Buffalo Grove, IL 60089-1997

Mailing address

1110 W Lake Cook Rd Ste 152
Buffalo Grove, IL 60089-1997
Phone (847) 250-7029

Other identifiers 1

IdentifierTypeStateIssuer
1538285044MedicaidIL

National Provider Directory

National Provider Directory

Locations

1110 W Lake Cook Rd
Ste 152
Buffalo Grove, IL 60089
Phone (847) 208-5970

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1336849538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD STE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891997",
            "telephone_number": "847-250-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD STE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891997",
            "telephone_number": "847-250-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "MOORHOUSE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "847-250-7029",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538285044",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.