Organization Active NPI

Dui & Addiction Counseling Center

  • Children's Substance Abuse Rehabilitation Facility
  • Mundelein, IL
National Provider Identifier
1669701389
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
A14580001A Issued in IL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Mr. Barry Edward Hinkeldey, CADCNPI 1538066477
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.