Active NPI
Thy X My
- Community/Behavioral Health Agency
- Carol Stream, IL
National Provider Identifier
1356709398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 180009724
- Legal business name
- THY X MY
- Practice address
- 585 Thornhill Dr
Unit 215
Carol Stream, IL 60188-2764 - Phone
- (630) 923-5838
- NPI assigned
- Feb 5, 2016
- 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
- Clifton George Burns Jr., LCPC
- Title
- Owner
- Phone
- (630) 923-5838
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 180009724 | IL | Primary |
Addresses
Primary practice location
585 Thornhill Dr
Unit 215
Carol Stream, IL 60188-2764
Mailing address
585 Thornhill Dr
Unit 215
Carol Stream, IL 60188-2764
Phone (630) 923-5838
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Lisle, IL
- NPI 1588039218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454630400000",
"number": "1356709398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 THORNHILL DR",
"address_2": "UNIT 215",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882764",
"telephone_number": "630-923-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 THORNHILL DR",
"address_2": "UNIT 215",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882764",
"telephone_number": "630-923-5838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THY X MY",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "CLIFTON",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-923-5838",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "180009724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.