Active NPI
Colleen Middendorf
- Professional Counselor
- Arlington Heights, IL
National Provider Identifier
1508234337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.006345
- Practice address
- 3385 N Arlington Heights Rd
Suite C
Arlington Heights, IL 60004-7702 - Phone
- (877) 296-0150
- NPI assigned
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.006345 | IL | Primary |
Addresses
Primary practice location
3385 N Arlington Heights Rd
Suite C
Arlington Heights, IL 60004-7702
Mailing address
110 Albion Ave
Park Ridge, IL 60068-4910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006345 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1508234337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ALBION AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE C",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600047702",
"telephone_number": "877-296-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDENDORF",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.006345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
- Raman Michael, MD
- Susan F. Michaelis, RPH
- Elizabeth Teloh Michalowicz, OTR/L
- Michelle R Michalski
- Gary Michelsen, LCPC
- Midwest Center for Posttraumatic Growth, PLLC
- Midwest Chiropractic Clinic, P.C.
- Midwest Pharmacy Associates,LLC
- Midwest Professional Medical Care Inc.
- Midwest Rehabilitation Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.