Active NPI
Silver Birch Counseling and Wellness, PLLC
- Mental Health Counselor
- St Charles, IL
National Provider Identifier
1356020390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1467093112
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
- Seham Siddiqui, SLP
- Alexis Siegmann, AMFT
- Sierra Wellness Therapy LLC
- Signature Consulting and Psychological Services, Inc.
- Tracy Lynn Siligmueller, SLP
- Silver Glen Road Opco LLC (Recovery Centers of America at St. Charles)
- Shelley A Simmering, CPED
- Ava Simon
- Camille R Simon
- Kathleen Boswell Simon, APN
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.