Active NPI
Wirth Counseling Services, P.C.
- Professional Counselor
- Mokena, IL
National Provider Identifier
1427462191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009160
- Legal business name
- WIRTH COUNSELING SERVICES, P.C.
- Practice address
- 19250 Everett LN
Suite #102
Mokena, IL 60448-8942 - Phone
- (708) 925-7258
- NPI assigned
- Jun 20, 2014
- 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
- Mrs. Denise Ann Wirth, LCPC
- Title
- President
- Phone
- (708) 925-7258
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 | 180009160 | IL | Primary |
Addresses
Primary practice location
19250 Everett LN
Suite #102
Mokena, IL 60448-8942
Mailing address
680 Lenox St
New Lenox, IL 60451-4200
Phone (815) 717-8575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932512902 | Other | IL | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
19250 Everett Ln
Ste 102
Mokena, IL 60448
Phone (708) 601-3060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Mokena, IL
- NPI 1932512902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403222400000",
"number": "1427462191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 LENOX ST",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604514200",
"telephone_number": "815-717-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19250 EVERETT LN",
"address_2": "SUITE #102",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488942",
"telephone_number": "708-925-7258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIRTH COUNSELING SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A",
"authorized_official_last_name": "WIRTH",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-925-7258",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180009160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1932512902",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.