Autumn House Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AUTUMN HOUSE COUNSELING PLLC

Practice address

18300 S Halsted St
Ste B #214
Glenwood, IL 60425-1051

Phone

(773) 679-0986

NPI assigned

Oct 20, 2021

Last updated

Oct 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Rodriguez, MA, LCPCNPI 1669896643

Title

Owner, Counselor

Phone

(773) 679-0986

Specialties & licenses 1

Addresses

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.

• Sandra Rodriguez, MA

  • Professional Counselor
  • Chicago, IL
  • NPI 1669896643
  NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1689337214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 S HALSTED ST",
            "address_2": "STE B #214",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251051",
            "telephone_number": "773-679-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 S HALSTED ST",
            "address_2": "STE B #214",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251051",
            "telephone_number": "773-679-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN HOUSE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "773-679-0986",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Glenwood, IL
• Providers in Glenwood, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.