Ascend CHC, LCC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164004906 Issued in IL

Legal business name

ASCEND CHC, LCC

Practice address

700 S Gregory St
Suite a
Urbana, IL 61801-3745

Phone

(217) 531-4796

Fax

(217) 607-5432

NPI assigned

Sep 11, 2013

Organization subpart

Yes

Parent organization

ASCEND CHC, LCCAs reported in NPPES

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

Authorized official

Name

Dr. Jenny Conviser, PSY.D

Title

Owner, Ceo

Phone

(312) 283-2650

Specialties & licenses 1

Addresses

Part of

Ascend CHC LCC

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1619302494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE",
            "address_2": "SUITE 1625",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112615",
            "telephone_number": "312-283-2650",
            "fax_number": "312-888-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S GREGORY ST",
            "address_2": "SUITE A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013745",
            "telephone_number": "217-531-4796",
            "fax_number": "217-607-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND CHC, LCC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCEND CHC, LCC",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "CONVISER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "312-283-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth S Aronson, MD
• Aleena Arshad
• Anna Arthur, PHD, RD
• Taj Y. Artis, LCSW
• Eswara V Asapu, MD
• Ascend Consultation in Health Care
• Sherine Yousef Mustafa Asha, M.D.
• Hafiz Sohail Ashraf
• Christina Blue Ashworth, RPH
• Morgan K Asif, PA-C

• Registered Dietitian in Urbana, IL
• Providers in Urbana, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.