Organization Active NPI

Silver Birch Counseling and Wellness, PLLC

  • Mental Health Counselor
  • St Charles, IL
National Provider Identifier
1356020390
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SILVER BIRCH COUNSELING AND WELLNESS, PLLC
Practice address
2600 Oak St Unit 28
St Charles, IL 60175-1536
Phone
(630) 485-0879
NPI assigned
Jul 17, 2023
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Laura Ahern, LCPC
Title
Managing Member
Phone
(630) 485-0879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2600 Oak St Unit 28
St Charles, IL 60175-1536

Mailing address

2600 Oak St Unit 28
St Charles, IL 60175-1536
Phone (630) 485-0879

National Provider Directory

National Provider Directory

Locations

103 N 11th Ave
Ste 239
St Charles, IL 60174
Phone (262) 290-5226

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": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1356020390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OAK ST UNIT 28",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751536",
            "telephone_number": "630-485-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OAK ST UNIT 28",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751536",
            "telephone_number": "630-485-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER BIRCH COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "630-485-0879",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.