NPIMap

Organization Active NPI

Associated Counseling, LLC

Doing business as Associated Counseling and Wellness Centers

  • Psychologist
  • Midlothian, IL
National Provider Identifier
1609314830
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ASSOCIATED COUNSELING, LLC
Doing business as
Associated Counseling and Wellness Centers
Practice address
4500 147TH St
Midlothian, IL 60445-2646
Phone
(708) 597-0032
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Tara C Fracassi
Title
Manager
Phone
(708) 597-0032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

4500 147TH St
Midlothian, IL 60445-2646

Mailing address

4500 147TH St
Midlothian, IL 60445-2646
Phone (708) 597-0032

Other names 1

  • ASSOCIATED COUNSELING AND WELLNESS CENTERS Doing business as

National Provider Directory

National Provider Directory

Locations

4500 147th St
Midlothian, IL 60445
Phone (708) 597-0032

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1609314830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 147TH ST",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604452646",
            "telephone_number": "708-597-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 147TH ST",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604452646",
            "telephone_number": "708-597-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "FRACASSI",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-597-0032"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATED COUNSELING AND WELLNESS CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.