Deer Grove Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DEER GROVE COUNSELING PLLC

Practice address

1020 Milwaukee Ave Ste 235
Deerfield, IL 60015-3555

Phone

(847) 707-4458

NPI assigned

Aug 5, 2021

Last updated

Dec 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Caryn L Goldberg, LCPCNPI 1568905065

Title

Therapist/Owner

Phone

(847) 707-4458

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caryn Lisa Goldberg, LCPC

  • Professional Counselor
  • Long Grove, IL
  • NPI 1568905065
  Authorized official Same address or phone

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1578237251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE STE 235",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153555",
            "telephone_number": "847-714-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MILWAUKEE AVE STE 235",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153555",
            "telephone_number": "847-707-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER GROVE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "CARYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "847-707-4458",
        "authorized_official_name_prefix": "Ms.",
        "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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• Deerfield Dermatology Associates, LTD.
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• Professional Counselor in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.