First Presbyterian Church

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FIRST PRESBYTERIAN CHURCH

Doing business as

The Counseling Center of FPCE

Practice address

1427 Chicago Ave
Evanston, IL 60201-4726

Phone

(847) 864-9133

NPI assigned

Jun 6, 2013

Last updated

Oct 11, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

FIRST PRESBYTERIAN CHURCHAs reported in NPPES

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

Authorized official

Name

Charles S Miyamoto, REV, LPCNPI 1508204066

Title

Director

Phone

(847) 864-9133

Specialties & licenses 1

Addresses

Other names 1

• The Counseling Center of FPCE Doing business as

Part of

First Presbyterian Church

Locations

Practitioners 3

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.

• Charles S Miyamoto, REV.; LPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1508204066
  NPD (past) Authorized official
• Clare Monhart

  • Professional Counselor
  • Evanston, IL
  • NPI 1770028250
  NPD (past)
• Victoria Ann Nelson, LPC

  • Counselor
  • Evanston, IL
  • NPI 1760989958
  NPD (past)

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1457799926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 CHICAGO AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014726",
            "telephone_number": "847-864-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 CHICAGO AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014726",
            "telephone_number": "847-864-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PRESBYTERIAN CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST PRESBYTERIAN CHURCH",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-864-9133",
        "authorized_official_credential": "REV, LPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Counseling Center of FPCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan Finn, LCSW
• Bridgit Murphy Finnerty, LPC
• Pamela Finney
• Terrance E Fippinger, DDS
• Cassandra Linn Firkins, LCSW
• Tessa R Fischer, MD
• Fischl Dental Associates, P.C.
• Marie Bradley Fischl, D.D.S.
• Paul L Fischl, D.D.S.
• Adam Robert Fisher, PH.D.

• Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.