Active NPI
Imperfect Harmony Counseling LTD
- Professional Counselor
- Gurnee, IL
National Provider Identifier
1558052035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180012426 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | imperfectharmony.net | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Social Worker
- Gurnee, IL
- NPI 1528863313
-
- Professional Counselor
- Vernon Hills, IL
- NPI 1760749949
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.