Pagone Psychological Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008212 Issued in IL

Legal business name

PAGONE PSYCHOLOGICAL SERVICES, LLC

Practice address

830 E Higgins Rd
Suite 112
Schaumburg, IL 60173-4797

Phone

(773) 339-7949

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer J. Pagone, LCPC, NCC

Title

Owner

Phone

(773) 339-7949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1497110936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD",
            "address_2": "SUITE 112",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734797",
            "telephone_number": "773-339-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD",
            "address_2": "SUITE 112",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734797",
            "telephone_number": "773-339-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGONE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "PAGONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-339-7949",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.