Active NPI
Independence Health & Therapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
National Provider Identifier
1376009753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- INDEPENDENCE HEALTH & THERAPY
- Practice address
- 708 Washington St
Woodstock, IL 60098-2265 - Phone
- (815) 338-1707
- NPI assigned
- Feb 11, 2019
- Organization subpart
- Yes
- Parent organization
- INDEPENDENCE HEALTH & THERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Fisher
- Title
- Finance Director
- Phone
- (815) 338-3590
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
708 Washington St
Woodstock, IL 60098-2265
Mailing address
2028 N Seminary Ave
Woodstock, IL 60098-2626
Phone (815) 338-3590
National Provider Directory
National Provider Directory- Tax ID family
- Family Alliance Inc
- Part of
- Family Alliance Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Woodstock, IL
- NPI 1184744625
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1235994872
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1598717597
Locations
708 Washington St
Woodstock, IL 60098
Phone (815) 338-1707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1376009753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 N SEMINARY AVE",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600982626",
"telephone_number": "815-338-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 WASHINGTON ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600982265",
"telephone_number": "815-338-1707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENCE HEALTH & THERAPY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDEPENDENCE HEALTH & THERAPY",
"enumeration_date": "2019-02-11",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "815-338-3590"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.