Fireside Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180000241 Issued in IL

Legal business name

FIRESIDE COUNSELING LLC

Practice address

101 1/2 E Front St
Suite 106
Wheaton, IL 60187-5334

Phone

(630) 239-7227

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mark L Ramirez, MA, LCPC, LMFT

Title

Sr. Staff Therapist

Phone

(630) 239-7227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1508258732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1/2 E FRONT ST",
            "address_2": "SUITE 106",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875334",
            "telephone_number": "630-239-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1/2 E FRONT ST",
            "address_2": "SUITE 106",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875334",
            "telephone_number": "630-239-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR. STAFF THERAPIST",
        "authorized_official_telephone_number": "630-239-7227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180000241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.