Innersight Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015712 Issued in IL

Legal business name

INNERSIGHT COUNSELING, LLC

Practice address

17W727 Butterfield Rd
Suite G
Oakbrook Terrace, IL 60181-4278

Phone

(773) 802-3618

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Prof. Irene Medina, LCSW

Title

Owner

Phone

(773) 802-3618

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seth Gruenwald, LCSW

  • Clinical Social Worker
  • Oakbrook Terrace, IL
  • NPI 1447651427
  NPD
• Mary Holland, PSY.D.

  • Psychologist
  • Oakbrook Terrace, IL
  • NPI 1548793672
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1649655424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W727 BUTTERFIELD RD",
            "address_2": "SUITE G",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W727 BUTTERFIELD RD",
            "address_2": "SUITE G",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814278",
            "telephone_number": "773-802-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSIGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-802-3618",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004492",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.