Organization Active NPI

Grove Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roselle, IL
National Provider Identifier
1447878996
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GROVE COUNSELING INC
Practice address
701 E Irving Park Rd Ste 205
Roselle, IL 60172-2357
Phone
(847) 212-0494
NPI assigned
Jul 10, 2020
Last updated
Jul 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Kelsey Madaj, LMFTNPI 1093354607
Title
President
Phone
(847) 212-0494

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

701 E Irving Park Rd Ste 205
Roselle, IL 60172-2357

Mailing address

701 E Irving Park Rd Ste 205
Roselle, IL 60172-2357
Phone (847) 212-0494

National Provider Directory

National Provider Directory

Locations

701 E Irving Park Rd
Ste 205
Roselle, IL 60172
Phone (847) 212-0494

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1447878996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E IRVING PARK RD STE 205",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722357",
            "telephone_number": "847-212-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E IRVING PARK RD STE 205",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722357",
            "telephone_number": "847-212-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "MADAJ",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-212-0494",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.