Organization Active NPI

Personal Enrichment Therapy LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Elgin, IL
National Provider Identifier
1679216469
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PERSONAL ENRICHMENT THERAPY LLC
Practice address
164 Division St Ste 714
Elgin, IL 60120-5534
Phone
(224) 366-0189
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Ms. Jena Claudia Yuen, LCPCNPI 1467003699
Title
Psychotherapist
Phone
(224) 366-0189

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

164 Division St Ste 714
Elgin, IL 60120-5534

Mailing address

275 Fern Dr
Elk Grove Village, IL 60007-4013
Phone (224) 366-0189

National Provider Directory

National Provider Directory

Locations

164 Division St
Ste 714
Elgin, IL 60120
Phone (224) 366-0189

Practitioners & affiliated clinicians

Practitioners 1

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": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1679216469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 FERN DR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600074013",
            "telephone_number": "224-366-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 DIVISION ST STE 714",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205534",
            "telephone_number": "224-366-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ENRICHMENT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "YUEN",
        "authorized_official_first_name": "JENA",
        "authorized_official_middle_name": "CLAUDIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "224-366-0189",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.