Center for Christian Life Enrichment, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.001528 Issued in IL

Legal business name

CENTER FOR CHRISTIAN LIFE ENRICHMENT, INC

Practice address

666 Dundee Rd
Suite 503
Northbrook, IL 60062-2727

Phone

(847) 272-3684

Fax

(847) 272-7934

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Rich Blue, M.A., LCPC

Title

Clinical Director

Phone

(847) 272-3684

Specialties & licenses 1

Addresses

Tax ID family

Center for Christian Life Enrichment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Center for Christian Life Enrichment

  • Mental Health Counselor
  • Northbrook, IL
  • NPI 1891186383
  NPD tax ID

Locations

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1679720155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD",
            "address_2": "SUITE 503",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD",
            "address_2": "SUITE 503",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622727",
            "telephone_number": "847-272-3684",
            "fax_number": "847-272-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHRISTIAN LIFE ENRICHMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "847-272-3684",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.001528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malory Goldin Ceaser, LCSW
• Angela Ceisel, PSY. D.
• Kenneth Celiano
• Kassandra Cenoz Olivares
• Center for Christian Life Enrichment
• Center for Psychology and Wellness, P.C.
• Center on Deafness
• Center on Deafness
• Center on Deafness
• Central Sleep Diagnostics LLC

• Community/Behavioral Health Agency in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.