Third Edge LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THIRD EDGE LLC

Practice address

175 Carthage LN
Hoffman Estates, IL 60169-1823

Phone

(847) 208-3802

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Monica N Mikhaeil, MA, LPC, NCCNPI 1376230102

Title

Ceo and Psychotherapist

Phone

(847) 208-3802

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Monica N Mikhaeil, LPC

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1376230102
  NPD Authorized official

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1649901125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CARTHAGE LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691823",
            "telephone_number": "847-208-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CARTHAGE LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691823",
            "telephone_number": "847-208-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD EDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "MIKHAEIL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-208-3802",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Monica@thirdedgepsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email that is HIPPA compliant",
            "address_1": "175 Carthage Ln",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601691823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Jun 23, 2022; 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.