One True North LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ONE TRUE NORTH LLC

Practice address

175 Olde Half Day Rd Ste 100-6
Lincolnshire, IL 60069-3008

Phone

(847) 748-2558

NPI assigned

May 8, 2020

Last updated

May 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Burback, LCPC NCCNPI 1992158638

Title

Owner

Phone

(847) 748-2558

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Christine M. Burback, LCPC NCC

  • Professional Counselor
  • Lincolnshire, IL
  • NPI 1992158638

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1417579731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD STE 100-6",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693008",
            "telephone_number": "847-748-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD STE 100-6",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693008",
            "telephone_number": "847-748-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE TRUE NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "BURBACK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-748-2558",
        "authorized_official_credential": "LCPC NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.