Organization Active NPI

Metroka Counseling Services, PC

  • Professional Counselor
  • Lake in the Hills, IL
National Provider Identifier
1366670150
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
060-010227 Issued in IL
Legal business name
METROKA COUNSELING SERVICES, PC
Practice address
1301 Pyott Rd
Suite 102
Lake in the Hills, IL 60156-9795
Phone
(847) 658-6684
Fax
(847) 458-2250
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Deborah B Metroka, LCPCNPI 1932246469
Title
President
Phone
(847) 658-6684

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 060-010227 IL Primary

Addresses

Primary practice location

1301 Pyott Rd
Suite 102
Lake in the Hills, IL 60156-9795

Mailing address

1301 Pyott Rd
Suite 102
Lake in the Hills, IL 60156-9795
Phone (847) 658-6684

Other names 1

  • Metroka Coaching Services, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1301 Pyott Rd
Ste 102
Lake in the Hills, IL 60156
Phone (401) 533-6245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1366670150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD",
            "address_2": "SUITE 102",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569795",
            "telephone_number": "847-658-6684",
            "fax_number": "847-458-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD",
            "address_2": "SUITE 102",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569795",
            "telephone_number": "847-658-6684",
            "fax_number": "847-458-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROKA COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "METROKA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-658-6684",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "060-010227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metroka Coaching Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.