Organization Active NPI

Vivere Counseling

  • Professional Counselor
  • Bloomingdale, IL
National Provider Identifier
1417780867
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
VIVERE COUNSELING
Practice address
121 Fairfield Way Ste 102
Bloomingdale, IL 60108-1555
Phone
(630) 946-9500
Fax
(630) 597-2848
NPI assigned
Aug 21, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Kathleen Valentino, LCPCNPI 1306948351
Title
LCPC
Phone
(630) 946-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

121 Fairfield Way Ste 102
Bloomingdale, IL 60108-1555

Mailing address

PO Box 6224
Bloomingdale, IL 60108-6224
Phone (630) 946-9500

Other identifiers 1

IdentifierTypeStateIssuer
1306948351MedicaidIL

National Provider Directory

National Provider Directory

Locations

121 Fairfield Way
Ste 102
Bloomingdale, IL 60108
Phone (630) 664-6036

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1417780867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6224",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601086224",
            "telephone_number": "630-946-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FAIRFIELD WAY STE 102",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081555",
            "telephone_number": "630-946-9500",
            "fax_number": "630-597-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVERE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "VALENTINO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "630-946-9500",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306948351",
            "state": "IL"
        }
    ],
    "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 Aug 21, 2024; 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.