Roundtable Mental Health, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ROUNDTABLE MENTAL HEALTH, INC.

Practice address

800 Heatherdown Way
Buffalo Grove, IL 60089-1052

Phone

(847) 243-7967

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Sonya Kontorovich, LCPCNPI 1194169896

Title

Psychotherapist/Owner

Phone

(847) 243-7967

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonya Kontorovich, LCPC

  • Professional Counselor
  • Schaumburg, IL
  • NPI 1194169896

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1407433253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HEATHERDOWN WAY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HEATHERDOWN WAY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891052",
            "telephone_number": "847-243-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDTABLE MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "KONTOROVICH",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "847-243-7967",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sonya@roundtablementalhealth.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "800 Heatherdown Way",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600891052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Buffalo Grove, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.