NPIMap

Organization Active NPI

Eating Recovery Center Insight

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1669915831
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.009963 Issued in IL
Legal business name
EATING RECOVERY CENTER INSIGHT
Practice address
1535 Lake Cook Rd Ste 303
Northbrook, IL 60062-1452
Phone
(847) 378-7246
Fax
(847) 559-9428
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Jennifer L McAdams, LCPC
Title
Clinical Manager
Phone
(847) 997-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180.009963 IL Primary

Addresses

Primary practice location

1535 Lake Cook Rd Ste 303
Northbrook, IL 60062-1452

Mailing address

1535 Lake Cook Rd Ste 303
Northbrook, IL 60062-1452
Phone (847) 378-7246

National Provider Directory

National Provider Directory
Tax ID family
Insight Behavioral Health Centers13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1669915831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 303",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621452",
            "telephone_number": "847-378-7246",
            "fax_number": "847-559-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 303",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621452",
            "telephone_number": "847-378-7246",
            "fax_number": "847-559-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING RECOVERY CENTER INSIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "847-997-3910",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 21, 2016; 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.