Monument Outreach Community Services

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

MONUMENT OUTREACH COMMUNITY SERVICES

Practice address

2750 W Columbus Ave
Chicago, IL 60652-1727

Phone

(312) 735-2134

Fax

(773) 918-1630

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

John Steven Henton, D. D. PHD PC

Title

Owner

Phone

(312) 735-2134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1487950184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W COLUMBUS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521727",
            "telephone_number": "312-735-2134",
            "fax_number": "773-918-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W COLUMBUS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521727",
            "telephone_number": "312-735-2134",
            "fax_number": "773-918-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT OUTREACH COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "HENTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-735-2134",
        "authorized_official_credential": "D. D. PHD PC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.