Inner Balance

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

166000625 Issued in IL

Legal business name

INNER BALANCE

Practice address

350 Pfingsten Rd
Northbrook, IL 60062-2032

Phone

(847) 224-0244

NPI assigned

Jan 21, 2009

Organization subpart

No

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

Authorized official

Name

Ellen Katz, LMFT

Title

Director

Phone

(847) 224-0244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1497993935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PFINGSTEN RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PFINGSTEN RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622032",
            "telephone_number": "847-224-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-224-0244",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "166000625",
            "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 21, 2009; 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.