Active NPI
Purple Lotus Solutions, Inc.
- Clinical Social Worker
- Oswego, IL
National Provider Identifier
1609605385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PURPLE LOTUS SOLUTIONS, INC.
- Practice address
- 2683 US Highway 34
Oswego, IL 60543-8577 - Phone
- (630) 337-0827
- NPI assigned
- Jul 30, 2024
- 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
- Mindy M. Burkhamer, LCSW, CADC, CODP-II
- Title
- President/Clinical Therapist
- Phone
- (630) 337-0827
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2683 US Highway 34
Oswego, IL 60543-8577
Mailing address
2683 US Highway 34
Oswego, IL 60543-8577
Phone (630) 337-0827
National Provider Directory
National Provider DirectoryLocations
2683 US Highway 34
Oswego, IL 60543
Phone (630) 551-8602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Oswego, IL
- NPI 1164157947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1609605385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2683 US HIGHWAY 34",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438577",
"telephone_number": "630-337-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2683 US HIGHWAY 34",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438577",
"telephone_number": "630-337-0827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURPLE LOTUS SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "BURKHAMER",
"authorized_official_first_name": "MINDY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT/CLINICAL THERAPIST",
"authorized_official_telephone_number": "630-337-0827",
"authorized_official_credential": "LCSW, CADC, CODP-II"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.