Southwest Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180008210 Issued in IL

Legal business name

SOUTHWEST COUNSELING CENTER

Practice address

10800 Central Ave
Chicago Ridge, IL 60415-2304

Phone

(708) 707-0172

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Donna KilgallonNPI 1265870364

Title

Therapist

Phone

(708) 707-0172

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna J Kilgallon, LCPC

  • Professional Counselor
  • Chicago Ridge, IL
  • NPI 1265870364
  NPD (past) Authorized official

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1508237736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 CENTRAL AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 CENTRAL AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152304",
            "telephone_number": "708-707-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "KILGALLON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-707-0172"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180008210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sisk
• Smiles Par Excellence PC
• Sabrina Smith
• South Chicago Lab Limited
• Kristina Southerland, FNP
• Southwest Medical Affiliates, PC
• George Ilija Sreckovic, M.D.
• Veronica Sroka
• Star-Care Family Wellness, LLC
• Starlife Wellness Clinic LLC

• Community/Behavioral Health Agency in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.