Psychology Assessment and Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PSYCHOLOGY ASSESSMENT AND COUNSELING LLC

Practice address

1333 Golf Ave
Highland Park, IL 60035-3021

Phone

(312) 929-6911

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Svitlana Sukach, LCPC

Title

Owner

Phone

(312) 929-6911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1528896123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 GOLF AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353021",
            "telephone_number": "312-929-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 GOLF AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353021",
            "telephone_number": "312-929-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY ASSESSMENT AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "SUKACH",
        "authorized_official_first_name": "SVITLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-929-6911",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.