NPIMap

Organization Active NPI

Wholehealth Therapy Partners, Inc

  • Professional Counselor
  • Oak Park, IL
National Provider Identifier
1457704603
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.004472 Issued in IL
Legal business name
WHOLEHEALTH THERAPY PARTNERS, INC
Practice address
715 Lake St Ste 410
Oak Park, IL 60301-1413
Phone
(708) 209-8987
NPI assigned
Jul 22, 2016
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Frank Gerard CzubaNPI 1174854707
Title
Owner
Phone
(708) 209-5664

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 056003247 IL
Professional Counselor 101YP2500X 180.004472 IL Primary
Health Psychologist 103TH0004X 071008544 IL

Addresses

Primary practice location

715 Lake St Ste 410
Oak Park, IL 60301-1413

Mailing address

633 Carpenter Ave
Oak Park, IL 60304-1104

National Provider Directory

National Provider Directory

Locations

715 Lake St
Ste 410
Oak Park, IL 60301
Phone (708) 209-8987

Practitioners & affiliated clinicians

Practitioners 4

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": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1457704603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 CARPENTER AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 410",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011413",
            "telephone_number": "708-209-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEHEALTH THERAPY PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "CZUBA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-209-5664"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "056003247",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.004472",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "IL",
            "license": "071008544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

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

Verify at the official NPI Registry.