Organization Active NPI

Supportive Solutions Counseling Center, LLC

  • Clinical Social Worker
  • Grayslake, IL
National Provider Identifier
1437438462
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.011487 Issued in IL
Legal business name
SUPPORTIVE SOLUTIONS COUNSELING CENTER, LLC
Practice address
34121 N US Highway 45
Suite #227
Grayslake, IL 60030-1768
Phone
(847) 287-7203
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Mrs. Maribeth Struebing, MSW, LCSWNPI 1649305632
Title
Psychotherapist/ Partner
Phone
(847) 287-7203

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.011487 IL Primary

Addresses

Primary practice location

34121 N US Highway 45
Suite #227
Grayslake, IL 60030-1768

Mailing address

34121 N US Highway 45
Suite #227
Grayslake, IL 60030-1768

National Provider Directory

National Provider Directory

Locations

34121 N US Highway 45
Ste 227
Grayslake, IL 60030
Phone (847) 287-7203

945 Lakeview Pkwy
Ste 108
Vernon Hills, IL 60061

Practitioners & affiliated clinicians

Practitioners 2

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": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1437438462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45",
            "address_2": "SUITE #227",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45",
            "address_2": "SUITE #227",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301768",
            "telephone_number": "847-287-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE SOLUTIONS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "STRUEBING",
        "authorized_official_first_name": "MARIBETH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/ PARTNER",
        "authorized_official_telephone_number": "847-287-7203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.