Organization Active NPI

Embrace Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Villa, IL
National Provider Identifier
1376229617
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EMBRACE BEHAVIORAL HEALTH
Practice address
18799 W Meadow Grass Dr
Lake Villa, IL 60046-6761
Phone
(847) 338-1475
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Aleksandra Besterfeldt, PMHNP-BCNPI 1770949067
Title
NP/Owner
Phone
(847) 338-1475

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

18799 W Meadow Grass Dr
Lake Villa, IL 60046-6761

Mailing address

18799 W Meadow Grass Dr
Lake Villa, IL 60046-6761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106000827 IL Part B Supplier - Clinic/Group Practice 5698122109 Receives reassigned benefits from 5 practitioners
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Locations

1580 S Milwaukee Ave
Ste 420
Libertyville, IL 60048
Phone (847) 558-1388

1590 S Milwaukee Ave
Ste 204
Libertyville, IL 60048
Phone (847) 247-0816

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1376229617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18799 W MEADOW GRASS DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18799 W MEADOW GRASS DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466761",
            "telephone_number": "847-338-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "BESTERFELDT",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "847-338-1475",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.