NPIMap

Organization Active NPI

Decision Point Counseling and Career Center

Doing business as Sanctuary Christian Counseling

  • Professional Counselor
  • South Holland, IL
National Provider Identifier
1376958074
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.005749 Issued in IL
Legal business name
DECISION POINT COUNSELING AND CAREER CENTER
Doing business as
Sanctuary Christian Counseling
Practice address
16284 Prince Dr
South Holland, IL 60473-3233
Phone
(312) 218-8483
Fax
(708) 331-8670
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Byron Waller, PH.D., LCPCNPI 1013064328
Title
Ceo/ Head Counselor
Phone
(312) 218-8483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.005749 IL Primary

Addresses

Primary practice location

16284 Prince Dr
South Holland, IL 60473-3233

Mailing address

25140 Spring St
Manhattan, IL 60442-1403
Phone (312) 218-8483

Other names 1

  • Sanctuary Christian Counseling Doing business as

National Provider Directory

National Provider Directory

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": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1376958074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25140 SPRING ST",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604421403",
            "telephone_number": "312-218-8483",
            "fax_number": "708-331-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16284 PRINCE DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733233",
            "telephone_number": "312-218-8483",
            "fax_number": "708-331-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECISION POINT COUNSELING AND CAREER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "CEO/ HEAD COUNSELOR",
        "authorized_official_telephone_number": "312-218-8483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.