NPIMap

Organization Active NPI

Emily Pagone Counseling, PLLC

Doing business as Authentic Growth Wellness Group

  • Professional Counselor
  • Hinsdale, IL
National Provider Identifier
1396357737
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMILY PAGONE COUNSELING, PLLC
Doing business as
Authentic Growth Wellness Group
Practice address
211 W Chicago Ave Ste 119
Hinsdale, IL 60521-3355
Phone
(630) 207-2482
Fax
(630) 708-7573
NPI assigned
Aug 18, 2020
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Emily Pagone, MS, LCPCNPI 1841646999
Title
Clinical Director and Owner
Phone
(630) 207-2482

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU

Addresses

Primary practice location

211 W Chicago Ave Ste 119
Hinsdale, IL 60521-3355

Mailing address

211 W Chicago Ave Ste 119
Hinsdale, IL 60521-3355
Phone (630) 207-2482

Other practice location 1

800 Roosevelt Rd Ste 308
Building B, Suite #308
Glen Ellyn, IL 60137-5839
Phone (630) 207-2482

Other identifiers 5

IdentifierTypeStateIssuer
1417683236OtherILNPI
178018549OtherILIDFPR
178018500OtherILIDFPR
1841646999OtherILNPI
180012775OtherILIDFPR

Other names 1

  • Authentic Growth Wellness Group Doing business as

National Provider Directory

National Provider Directory

Locations

800 Roosevelt Rd
Ste B308
Glen Ellyn, IL 60137
Phone (312) 924-1884

211 W Chicago Ave
Ste 119
Hinsdale, IL 60521
Phone (630) 207-2482

Practitioners & affiliated clinicians

Practitioners 8

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1396357737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W CHICAGO AVE STE 119",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213355",
            "telephone_number": "630-207-2482",
            "fax_number": "630-708-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W CHICAGO AVE STE 119",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213355",
            "telephone_number": "630-207-2482",
            "fax_number": "630-708-7573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Roosevelt Rd Ste 308",
            "address_2": "Building B, Suite #308",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601375839",
            "country_code": "US",
            "telephone_number": "630-207-2482",
            "fax_number": "630-708-7573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILY PAGONE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "PAGONE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "630-207-2482",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417683236",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "178018549",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "178018500",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841646999",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "180012775",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Growth Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.