Organization Active NPI

Imperfect Harmony Counseling LTD

  • Professional Counselor
  • Gurnee, IL
National Provider Identifier
1558052035
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
IMPERFECT HARMONY COUNSELING LTD
Practice address
495 N Riverside Dr Ste 104
Gurnee, IL 60031-5919
Phone
(847) 650-2660
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Claudia Talia, LCPC
Title
Owner
Phone
(847) 650-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

495 N Riverside Dr Ste 104
Gurnee, IL 60031-5919

Mailing address

201 E Cook Ave Apt 104
Libertyville, IL 60048-2038
Phone (847) 650-2660

Other identifiers 1

IdentifierTypeStateIssuer
180012426MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL imperfectharmony.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

495 N Riverside Dr
Ste 104
Gurnee, IL 60031
Phone (224) 440-7373

Practitioners & affiliated clinicians

Practitioners 2

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": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1558052035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E COOK AVE APT 104",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482038",
            "telephone_number": "847-650-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N RIVERSIDE DR STE 104",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315919",
            "telephone_number": "847-650-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERFECT HARMONY COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "TALIA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-650-2660",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180012426",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "imperfectharmony.net",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "495 N Riverside Dr Ste 104",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.