Organization Active NPI

North Shore Counseling and Psychotherapy

  • Clinical Social Worker
  • Northfield, IL
National Provider Identifier
1457814840
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTH SHORE COUNSELING AND PSYCHOTHERAPY
Doing business as
North Shore Counseling and Psychotherapy
Practice address
465 Central Ave Ste 203
Northfield, IL 60093-3045
Phone
(847) 784-8690
Fax
(847) 784-6908
NPI assigned
Apr 11, 2019
Organization subpart
Yes
Parent organization
ALAN J. LEVY, LCSW, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Alan J. Levy, PHD
Title
President
Phone
(847) 784-8690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

465 Central Ave Ste 203
Northfield, IL 60093-3045

Mailing address

465 Central Ave Ste 203
Northfield, IL 60093-3045
Phone (847) 784-8690

Other names 1

  • North Shore Counseling and Psychotherapy Doing business as

National Provider Directory

National Provider Directory
Part of
North Shore Counseling and Psychotherapy

Locations

465 Central Ave
Ste 203
Northfield, IL 60093
Phone (847) 784-8690

Practitioners & affiliated clinicians

Practitioners 1

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": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1457814840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE STE 203",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-784-8690",
            "fax_number": "847-784-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE STE 203",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-784-8690",
            "fax_number": "847-784-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE COUNSELING AND PSYCHOTHERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALAN J. LEVY, LCSW, PC",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-784-8690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Counseling and Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.