Organization Active NPI

Live Out Loud Counseling Services PLLC

  • Clinical Social Worker
  • Schaumburg, IL
National Provider Identifier
1497361315
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVE OUT LOUD COUNSELING SERVICES PLLC
Practice address
830 E Higgins Rd Ste 104H
Schaumburg, IL 60173-4792
Phone
(708) 825-6037
Fax
(708) 515-4471
NPI assigned
Sep 16, 2020
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Dawn Whetstine, LCSWNPI 1699856575
Title
Owner
Phone
(708) 825-6037

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

830 E Higgins Rd Ste 104H
Schaumburg, IL 60173-4792

Mailing address

830 E Higgins Rd Ste 104H
Schaumburg, IL 60173-4792
Phone (708) 825-6037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124000207 IL Part B Supplier - Clinic/Group Practice 4981015989 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1497361315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD STE 104H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734792",
            "telephone_number": "708-825-6037",
            "fax_number": "708-515-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD STE 104H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734792",
            "telephone_number": "708-825-6037",
            "fax_number": "708-515-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OUT LOUD COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "WHETSTINE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-825-6037",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.