Active NPI
Dui & Addiction Counseling Center
- Children's Substance Abuse Rehabilitation Facility
- Mundelein, IL
National Provider Identifier
1669701389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- License
- A14580001A
- Legal business name
- DUI & ADDICTION COUNSELING CENTER
- Practice address
- 333 E. Illinois Route 83
B7
Mundelein, IL 60060 - Phone
- (847) 949-4596
- Fax
- (847) 949-4598
- NPI assigned
- Dec 8, 2009
- Last updated
- Mar 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barry Edward Hinkeldey, CADC
- Title
- Program Director
- Phone
- (847) 949-4596
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | A14580001A | IL | |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | A14580001A | IL | Primary |
Addresses
Primary practice location
333 E. Illinois Route 83
B7
Mundelein, IL 60060
Mailing address
333 E. Illinois Route 83
B7
Mundelein, IL 60060
Phone (847) 949-4596
National Provider Directory
National Provider DirectoryLocations
333 E Il Route 83
Ste B7
Mundelein, IL 60060
Phone (847) 949-4596
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Mundelein, IL
- NPI 1538066477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301356800000",
"number": "1669701389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E. ILLINOIS ROUTE 83",
"address_2": "B7",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "60060",
"telephone_number": "847-949-4596",
"fax_number": "847-949-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E. ILLINOIS ROUTE 83",
"address_2": "B7",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "60060",
"telephone_number": "847-949-4596",
"fax_number": "847-949-4598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUI & ADDICTION COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2011-03-29",
"status": "A",
"authorized_official_last_name": "HINKELDEY",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "847-949-4596",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CADC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "A14580001A",
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "IL",
"license": "A14580001A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mundelein, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.