NPIMap

Organization Active NPI

Wholistic Health Services

  • Mental Health Counselor
  • Crete, IL
National Provider Identifier
1669883666
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WHOLISTIC HEALTH SERVICES
Practice address
3514 Eagle Nest Dr
Crete, IL 60417-1291
Phone
(708) 367-1299
Fax
(708) 367-1458
NPI assigned
May 13, 2014
Last updated
May 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Mr. Keith Gill
Title
Adminastrator
Phone
(708) 441-5593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3514 Eagle Nest Dr
Crete, IL 60417-1291

Mailing address

3514 Eagle Nest Dr
Crete, IL 60417-1291
Phone (708) 367-1299

National Provider Directory

National Provider Directory

Locations

3514 Eagle Nest Dr
Crete, IL 60417
Phone (708) 367-1299

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1669883666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 EAGLE NEST DR",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171291",
            "telephone_number": "708-367-1299",
            "fax_number": "708-367-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 EAGLE NEST DR",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171291",
            "telephone_number": "708-367-1299",
            "fax_number": "708-367-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ADMINASTRATOR",
        "authorized_official_telephone_number": "708-441-5593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.