Organization Active NPI

Narima Costa Spencer PC

  • Professional Counselor
  • Homer Glen, IL
National Provider Identifier
1609010834
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005260 Issued in IL
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

Updated by the provider on May 1, 2009

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.