Active NPI
Vivere Counseling
- Professional Counselor
- Bloomingdale, IL
National Provider Identifier
1417780867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Valentino, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306948351 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counselor
- Bloomingdale, IL
- NPI 1306948351
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.