Active NPI
Therese Ann Hogg, LPC
- Counselor
- Forest Park, IL
National Provider Identifier
1437590726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.011104
- Practice address
- 8311 Roosevelt Rd
Forest Park, IL 60130-2529 - Phone
- (708) 771-7000
- NPI assigned
- Jul 15, 2013
- Last updated
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.011104 | IL | Primary |
Addresses
Primary practice location
8311 Roosevelt Rd
Forest Park, IL 60130-2529
Mailing address
8311 Roosevelt Rd
Forest Park, IL 60130-2529
Phone (708) 771-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011104 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1437590726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8311 ROOSEVELT RD",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601302529",
"telephone_number": "708-771-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8311 ROOSEVELT RD",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601302529",
"telephone_number": "708-771-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGG",
"first_name": "THERESE",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.011104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.