NPIMap

Organization Active NPI

Advocacy Counseling Center, LTD

  • Clinical Psychologist
  • Crystal Lake, IL
National Provider Identifier
1508235540
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071005699 Issued in IL
Legal business name
ADVOCACY COUNSELING CENTER, LTD
Practice address
44 N Virginia St
Suite 2B
Crystal Lake, IL 60014-4106
Phone
(815) 243-6789
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Willa Wertheimer, PSY.D.
Title
President
Phone
(815) 243-6789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071005699 IL Primary

Addresses

Primary practice location

44 N Virginia St
Suite 2B
Crystal Lake, IL 60014-4106

Mailing address

44 N Virginia St
Suite 2B
Crystal Lake, IL 60014-4106
Phone (815) 243-6789

National Provider Directory

National Provider Directory

Locations

44 N Virginia St
Ste 2B
Crystal Lake, IL 60014
Phone (815) 243-6789

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1508235540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N VIRGINIA ST",
            "address_2": "SUITE 2B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144106",
            "telephone_number": "815-243-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N VIRGINIA ST",
            "address_2": "SUITE 2B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144106",
            "telephone_number": "815-243-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCACY COUNSELING CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "WERTHEIMER",
        "authorized_official_first_name": "WILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-243-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.