Organization Active NPI

Wirth Counseling Services, P.C.

  • Professional Counselor
  • Mokena, IL
National Provider Identifier
1427462191
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180009160 Issued in IL
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

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Mrs. Denise Ann Wirth, LCPCNPI 1932512902
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1932512902OtherILINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.