Organization Active NPI

Family Pathways Counseling

  • Clinical Social Worker
  • Des Plaines, IL
National Provider Identifier
1609194083
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003680 Issued in IL
Legal business name
FAMILY PATHWAYS COUNSELING
Practice address
380 E Northwest Hwy
Des Plaines, IL 60016-2290
Phone
(847) 909-7635
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Mr. George E Becker, LCSWNPI 1699001412
Title
Licensed Clinical Social Worker
Phone
(847) 924-7635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149003680 IL Primary

Addresses

Primary practice location

380 E Northwest Hwy
Des Plaines, IL 60016-2290

Mailing address

1034 S Wolf Rd
Des Plaines, IL 60016-6146
Phone (847) 924-7635

Other identifiers 1

IdentifierTypeStateIssuer
11404737OtherILCAQH

National Provider Directory

National Provider Directory

Locations

380 E Northwest Hwy
Des Plaines, IL 60016
Phone (847) 813-0700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1609194083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S WOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166146",
            "telephone_number": "847-924-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162290",
            "telephone_number": "847-909-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PATHWAYS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-924-7635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11404737",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.