NPIMap

Organization Active NPI

Peak Mental Health Counseling LLC

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1659912988
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEAK MENTAL HEALTH COUNSELING LLC
Practice address
601 Skokie Blvd Ste 207
Northbrook, IL 60062-2818
Phone
(812) 320-3616
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Michelle Aszodi Duchin, LCSWNPI 1922456938
Title
Licensed Clinical Social Worker
Phone
(812) 320-3616

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

601 Skokie Blvd Ste 207
Northbrook, IL 60062-2818

Mailing address

654 Kincaid St
Highland Park, IL 60035-5038
Phone (812) 320-3616

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mduchinlcsw@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1659912988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 KINCAID ST",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355038",
            "telephone_number": "812-320-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD STE 207",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622818",
            "telephone_number": "812-320-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MENTAL HEALTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "DUCHIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ASZODI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "812-320-3616",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mduchinlcsw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "mduchinlcsw@gmail.com",
            "address_1": "601 Skokie Blvd Ste 207",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.