Northern Light Counseling & Consultation LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NORTHERN LIGHT COUNSELING & CONSULTATION LLC

Practice address

18700 Wolf Rd Ste 245
Mokena, IL 60448-8603

Phone

(708) 692-8462

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tina M Rago, PSYD, LCPCNPI 1922425222

Title

Therapist/Owner

Phone

(708) 692-8462

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Marie Rago, PSYD, LCPC

  • Professional Counselor
  • Mokena, IL
  • NPI 1922425222
  NPD (past) Authorized official

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1588148795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 WOLF RD STE 245",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488603",
            "telephone_number": "708-692-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 WOLF RD STE 245",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488603",
            "telephone_number": "708-692-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHT COUNSELING & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "RAGO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "708-692-8462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922425222",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Normal Psychiatry & Wellness PLLC
• Adrian Nica, M.D.
• Glen John Nisivoccia, D C
• Juan Noguera, RSA
• Thomas R Norberg, D.C.
• Northwestern Medical Faculty Foundation
• Philomena Bridget Nowak, MS LCPC CRC
• Bridget Ann O'Connor
• Dino Gerald O'Mara, DC
• Kari L O'Rourke, ARNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mokena, IL
• Providers in Mokena, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.