Mandala Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MANDALA COUNSELING SERVICES LLC

Practice address

330 E Main St # 207
Barrington, IL 60010-3203

Phone

(224) 545-1225

Fax

(224) 702-9080

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. David Austen Gibbons, MANPI 1144688912

Title

Owner

Phone

(224) 545-1225

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Gibbons, MA, LCPC

  • Mental Health Counselor
  • Barrington, IL
  • NPI 1144688912
  NPD Authorized official
• Susan Diane Gibbons, MA COUNSELING INTERN

  • Mental Health Counselor
  • Wheaton, IL
  • NPI 1114689205
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1376199356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E MAIN ST STE 207",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103203",
            "telephone_number": "224-545-1225",
            "fax_number": "224-702-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E MAIN ST # 207",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103203",
            "telephone_number": "224-545-1225",
            "fax_number": "224-702-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AUSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-545-1225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cyrus Markazi, PHARMD
• Kristen M. Markovich, PSY.D.

• Mental Health Counselor in Barrington, IL
• Providers in Barrington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.