NPIMap

Organization Active NPI

Natalee R Mitrovich Inc

  • Professional Counselor
  • Wauconda, IL
National Provider Identifier
1376255893
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NATALEE R MITROVICH INC
Practice address
109 S Main St
Wauconda, IL 60084-1825
Phone
(224) 818-4432
NPI assigned
Dec 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Natalee Mitrovich, MA,LCPCNPI 1073624243
Title
Licensed Clinical Professional Coun
Phone
(224) 818-4432

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 Primary

Addresses

Primary practice location

109 S Main St
Wauconda, IL 60084-1825

Mailing address

109 S Main St
Wauconda, IL 60084-1825
Phone (224) 818-4432

Other names 1

  • Natalee Mitrovich, MA, LCPC Other name

National Provider Directory

National Provider Directory

Locations

109 S Main St
Wauconda, IL 60084
Phone (224) 818-4432

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": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1376255893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841825",
            "telephone_number": "224-818-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841825",
            "telephone_number": "224-818-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALEE R MITROVICH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "MITROVICH",
        "authorized_official_first_name": "NATALEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "224-818-4432",
        "authorized_official_credential": "MA,LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natalee Mitrovich, MA, LCPC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Natalee Mitrovich, MA, LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wauconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.