Concilium LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180002680 Issued in IL

Legal business name

CONCILIUM LLC

Practice address

2500 W Higgins Rd Ste 1130
Hoffman Estates, IL 60169-7209

Phone

(847) 302-4492

Fax

(847) 302-4492

NPI assigned

Jan 6, 2018

Last updated

Jan 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis R Humphrey, LCPCNPI 1497032296

Title

Owner

Phone

(847) 302-4492

Specialties & licenses 2

Addresses

Locations

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.

• Dennis R Humphrey, LCPC

  • Professional Counselor
  • Hoffman Estates, IL
  • NPI 1497032296
  NPD (past) Authorized official

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1346757721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD STE 1130",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697209",
            "telephone_number": "847-302-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD STE 1130",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697209",
            "telephone_number": "847-302-4492",
            "fax_number": "847-302-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCILIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-06",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-302-4492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6501-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180002680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiera Therese Collins
• Matt Comer, ATC, CSCS
• Community Health & Rehabilitation, SC
• Compass Healthcare Consultants, LLC
• Alexis Lauren Compton
• Marilin Conejo
• Kerry Lemke Conneely, M.D.
• Chiragkumar Pravinbhai Contractor
• Cook County Department of Public Health
• Beth Cook, LCSW

• Professional Counselor in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.