Elgersma Counseling Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELGERSMA COUNSELING SERVICES PLLC

Practice address

262 Chatsworth Ave
Sugar Grove, IL 60554-9475

Phone

(630) 465-5602

Fax

(630) 465-5604

NPI assigned

Oct 24, 2021

Organization subpart

No

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

Authorized official

Name

Michael W ElgersmaNPI 1972946028

Title

Licensed Clinical Professional Coun

Phone

(630) 465-5602

Specialties & licenses 1

Addresses

Other names 1

• Elgersma Counseling Services LLC Other name

Electronic endpoints 1

Practitioners 1

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

• Michael William Elgersma, LCPC

  • Mental Health Counselor
  • Dekalb, IL
  • NPI 1972946028
  NPD Authorized official

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635033600000",
    "number": "1417611799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 CHATSWORTH AVE",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549475",
            "telephone_number": "630-465-5602",
            "fax_number": "630-465-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHATSWORTH AVE",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549475",
            "telephone_number": "630-465-5602",
            "fax_number": "630-465-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGERSMA COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A",
        "authorized_official_last_name": "ELGERSMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "630-465-5602"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@ecounselingservices.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "262 Chatsworth Ave",
            "city": "Sugar Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605549475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elgersma Counseling Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Dotter, PTA
• Anne Dougherty, CRNP
• Dr. Satyen Patel LTD
• Candice Grace Dubeau
• Mary E Eberhardt
• Kathleen Diane Ely, LCSW
• Iris Miriam Espinoza
• Justine Rundina Everhart, PTA
• Donald J Fee, D.D.S.
• Emily Forbes

• Mental Health Counselor in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.