NPIMap

Organization Active NPI

Renaissance Therapy Services

  • Professional Counselor
  • Olympia Fields, IL
National Provider Identifier
1639534829
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RENAISSANCE THERAPY SERVICES
Practice address
20200 Governors Dr Ste 201E
Olympia Fields, IL 60461-1056
Phone
(872) 205-6710
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Georgia SoltauNPI 1447623194
Title
Owner
Phone
(708) 552-6085

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

20200 Governors Dr Ste 201E
Olympia Fields, IL 60461-1056

Mailing address

18710 Harding Ave
Flossmoor, IL 60422-1052
Phone (708) 552-6085

National Provider Directory

National Provider Directory

Locations

20200 Governors Dr
Ste 201E
Olympia Fields, IL 60461
Phone (872) 205-6710

Practitioners & affiliated clinicians

Practitioners 1

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": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1639534829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 HARDING AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221052",
            "telephone_number": "708-552-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 GOVERNORS DR STE 201E",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611056",
            "telephone_number": "872-205-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "SOLTAU",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-552-6085"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.