NPIMap

Organization Active NPI

Restorative Healing Counseling & Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • North Barrington, IL
National Provider Identifier
1508227398
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149012224 Issued in IL
Legal business name
RESTORATIVE HEALING COUNSELING & PSYCHOTHERAPY, LLC
Practice address
108 S Wynstone Park Dr
North Barrington, IL 60010-6923
Phone
(847) 942-4920
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Nicole N. Lis, MSW, LCSWNPI 1720147424
Title
Licensed Clinical Social Worker
Phone
(847) 942-4920

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
Community/Behavioral Health Agency 251S00000X 149012224 IL Primary

Addresses

Primary practice location

108 S Wynstone Park Dr
North Barrington, IL 60010-6923

Mailing address

108 S Wynstone Park Dr
North Barrington, IL 60010-6923
Phone (847) 942-4920

National Provider Directory

National Provider Directory

Locations

444 S Rand Rd
Ste 300
Lake Zurich, IL 60047
Phone (847) 492-2121

108 S Wynstone Park Dr
North Barrington, IL 60010
Phone (847) 942-4920

Practitioners & affiliated clinicians

Practitioners 7

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": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1508227398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S WYNSTONE PARK DR",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106923",
            "telephone_number": "847-942-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S WYNSTONE PARK DR",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106923",
            "telephone_number": "847-942-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE HEALING COUNSELING & PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "LIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-942-4920",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149012224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.