Active NPI
Ember Marie Pastore-Hills
- Professional Counselor
- Loves Park, IL
National Provider Identifier
1356501571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.002110
- Practice address
- 7120 Windsor Lake Pkwy
Loves Park, IL 61111-3803 - Phone
- (815) 877-9999
- Fax
- (815) 877-2601
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.002110 | IL | Primary |
Addresses
Primary practice location
7120 Windsor Lake Pkwy
Loves Park, IL 61111-3803
Mailing address
7120 Windsor Lake Parkway
Loves Park, IL 61111-3803
Phone (815) 877-9999
Other names 1
- Dr. Ember Marie Pastore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.002110 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Browndeer Family Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Loves Park, IL
- NPI 1598927436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1356501571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 WINDSOR LAKE PARKWAY",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611113803",
"telephone_number": "815-877-9999",
"fax_number": "815-877-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 WINDSOR LAKE PKWY",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611113803",
"telephone_number": "815-877-9999",
"fax_number": "815-877-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORE-HILLS",
"first_name": "EMBER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.002110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMBER",
"last_name": "PASTORE",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.