Organization Active NPI

Smith and Associates Counseling and Wellness

  • Mental Health Counselor
  • Orland Park, IL
National Provider Identifier
1407391550
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180004842 Issued in IL
Legal business name
SMITH AND ASSOCIATES COUNSELING AND WELLNESS
Practice address
9731 165TH St
Suite 37
Orland Park, IL 60467-5743
Phone
(708) 431-3520
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Ms. Blythe Hilary Smith, L.C.P.C
Title
President
Phone
(708) 897-1617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180004842 IL Primary

Addresses

Primary practice location

9731 165TH St
Suite 37
Orland Park, IL 60467-5743

Mailing address

9731 165TH St
Suite 37
Orland Park, IL 60467-5743
Phone (708) 431-3520

National Provider Directory

National Provider Directory

Locations

9731 165th St
Ste 37
Orland Park, IL 60467
Phone (708) 285-4116

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1407391550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 165TH ST",
            "address_2": "SUITE 37",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675743",
            "telephone_number": "708-431-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 165TH ST",
            "address_2": "SUITE 37",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675743",
            "telephone_number": "708-431-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AND ASSOCIATES COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BLYTHE",
        "authorized_official_middle_name": "HILARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-897-1617",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.P.C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.