Active NPI
Narima Costa Spencer PC
- Professional Counselor
- Homer Glen, IL
National Provider Identifier
1609010834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180005260
- Legal business name
- NARIMA COSTA SPENCER PC
- Practice address
- 14007 S Bell Rd
Homer Glen, IL 60491-8463 - Phone
- (708) 567-4563
- Fax
- (708) 645-0041
- NPI assigned
- May 1, 2009
- 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
- Narima C Spencer, LCPC
- Title
- Owner
- Phone
- (708) 567-4563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180005260 | IL | Primary |
Addresses
Primary practice location
14007 S Bell Rd
Homer Glen, IL 60491-8463
Mailing address
14007 S Bell Rd
Homer Glen, IL 60491-8463
Phone (708) 567-4563
National Provider Directory
National Provider DirectoryLocations
14007 S Bell Rd
Homer Glen, IL 60491
Phone (708) 364-7272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1609010834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14007 S BELL RD",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604918463",
"telephone_number": "708-567-4563",
"fax_number": "708-645-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14007 S BELL RD",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604918463",
"telephone_number": "708-567-4563",
"fax_number": "708-645-0041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NARIMA COSTA SPENCER PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "NARIMA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-567-4563",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180005260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.