Organization Active NPI

Ethos Counseling Group, Limited

  • Professional Counselor
  • Oak Brook, IL
National Provider Identifier
1639523558
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007649 Issued in IL
Legal business name
ETHOS COUNSELING GROUP, LIMITED
Practice address
2210 Midwest Rd
Suite 213
Oak Brook, IL 60523-1280
Phone
(630) 457-7176
NPI assigned
Apr 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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

Authorized official

Name
Ms. Carol Kruse, LCPC, NCC
Title
Owner
Phone
(630) 457-7176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180007649 IL Primary

Addresses

Primary practice location

2210 Midwest Rd
Suite 213
Oak Brook, IL 60523-1280

Mailing address

2210 Midwest Rd
Suite 213
Oak Brook, IL 60523-1280
Phone (630) 828-8120

National Provider Directory

National Provider Directory

Locations

5101 Washington St
Ste 1102
Gurnee, IL 60031
Phone (224) 766-9993

2210 Midwest Rd
Ste 213
Oak Brook, IL 60523
Phone (630) 457-7176

Practitioners & affiliated clinicians

Practitioners 4

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": "1460851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490486400000",
    "number": "1639523558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MIDWEST RD",
            "address_2": "SUITE 213",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231280",
            "telephone_number": "630-828-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MIDWEST RD",
            "address_2": "SUITE 213",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231280",
            "telephone_number": "630-457-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS COUNSELING GROUP, LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-17",
        "last_updated": "2017-03-26",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-457-7176",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.