Active NPI
Green Harmony Group Inc.
- Professional Counselor
- Bloomingdale, IL
National Provider Identifier
1396370243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- GREEN HARMONY GROUP INC.
- Practice address
- 113 Fairfield Way Ste 204
Bloomingdale, IL 60108-2116 - Phone
- (847) 641-5132
- Fax
- (847) 641-5142
- NPI assigned
- Mar 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre L Brown, MBA, MPH
- Title
- Ceo
- Phone
- (708) 261-1215
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| PACE Provider Organization | 251T00000X |
Addresses
Primary practice location
113 Fairfield Way Ste 204
Bloomingdale, IL 60108-2116
Mailing address
113 Fairfield Way Ste 204
Bloomingdale, IL 60108-2116
Phone (847) 641-5132
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583798400000",
"number": "1396370243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 FAIRFIELD WAY STE 204",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082116",
"telephone_number": "847-641-5132",
"fax_number": "847-641-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 FAIRFIELD WAY STE 204",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082116",
"telephone_number": "847-641-5132",
"fax_number": "847-641-5142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN HARMONY GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ANDRE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "708-261-1215",
"authorized_official_credential": "MBA, MPH"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.