NPIMap

Organization Active NPI

Tri-County Counseling Services, P.C.

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1376693143
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009158 Issued in IL
Legal business name
TRI-COUNTY COUNSELING SERVICES, P.C.
Practice address
346 Taft Ave
Glen Ellyn, IL 60137-6296
Phone
(630) 698-0390
NPI assigned
Jan 11, 2007
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Mr. Rob James Bender, LCSW
Title
Therapist
Phone
(630) 698-0390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009158 IL Primary

Addresses

Primary practice location

346 Taft Ave
Glen Ellyn, IL 60137-6296

Mailing address

346 Taft Ave
Glen Ellyn, IL 60137-6296
Phone (630) 698-0390

National Provider Directory

National Provider Directory

Locations

346 Taft Ave
Glen Ellyn, IL 60137
Phone (630) 260-1166

Practitioners & affiliated clinicians

Practitioners 3

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1376693143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 TAFT AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376296",
            "telephone_number": "630-698-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 TAFT AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376296",
            "telephone_number": "630-698-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "630-698-0390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.