NPIMap

Organization Active NPI

Centerpointe Cpe, Inc.

  • Counselor
  • Libertyville, IL
National Provider Identifier
1528397296
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180003417 Issued in IL
Legal business name
CENTERPOINTE CPE, INC.
Practice address
1580 S Milwaukee Ave
Suite 307
Libertyville, IL 60048-3764
Phone
(847) 557-0645
Fax
(847) 557-9809
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Mr. Drew M. Mjoen, M.A., LCPCNPI 1306993522
Title
President
Phone
(847) 557-0645

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 180003417 IL Primary

Addresses

Primary practice location

1580 S Milwaukee Ave
Suite 307
Libertyville, IL 60048-3764

Mailing address

1580 S Milwaukee Ave
Suite 307
Libertyville, IL 60048-3764
Phone (847) 557-0645

National Provider Directory

National Provider Directory

Locations

1580 S Milwaukee Ave
Ste 307
Libertyville, IL 60048
Phone (847) 557-0645

Practitioners & affiliated clinicians

Practitioners 6

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": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1528397296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "SUITE 307",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483764",
            "telephone_number": "847-557-0645",
            "fax_number": "847-557-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "SUITE 307",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483764",
            "telephone_number": "847-557-0645",
            "fax_number": "847-557-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINTE CPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "MJOEN",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-557-0645",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180003417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.