Generations Therapy & Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GENERATIONS THERAPY & COUNSELING

Practice address

20601 Promethian Way
Olympia Fields, IL 60461-1517

Phone

(708) 351-6729

Fax

(708) 810-6070

NPI assigned

Apr 8, 2020

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly Ann Smith, LCSWNPI 1891203956

Title

Lead Therapist

Phone

(708) 351-6729

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Beverly Ann Smith, LCSW

  • Clinical Social Worker
  • Olympia Fields, IL
  • NPI 1891203956
  NPD Authorized official

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1629607833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20601 PROMETHIAN WAY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611517",
            "telephone_number": "708-351-6729",
            "fax_number": "708-810-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 PROMETHIAN WAY",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611517",
            "telephone_number": "708-351-6729",
            "fax_number": "708-810-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS THERAPY & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "708-351-6729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.