Novus Counseling Collaborative, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NOVUS COUNSELING COLLABORATIVE, LLC

Practice address

1701 E Lake Ave Ste 270
Glenview, IL 60025-2088

Phone

(224) 267-9777

NPI assigned

Apr 7, 2023

Last updated

Apr 7, 2023By 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

Ms. Anna L Russo, LCSW, CADCNPI 1003580481

Title

Cofounder and Therapist

Phone

(224) 267-9777

Specialties & licenses 3

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.

• Anna Louise Russo

  • Clinical Social Worker
  • Glenview, IL
  • NPI 1003580481
  NPD Authorized official

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1699460493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE STE 270",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252088",
            "telephone_number": "224-267-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE STE 270",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252088",
            "telephone_number": "224-267-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS COUNSELING COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COFOUNDER AND THERAPIST",
        "authorized_official_telephone_number": "224-267-9777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Northwestern Memorial Hospital
• Lisa Novak, PSY.D.
• Kristian R. Novakovic, MD
• Nancy R Novotny, M.D.
• Susan L Nowak, COTA/L
• Bruce Noxon, D.P.M.
• Colleen Malley Nugent, MD
• Carol Ann O'Connor, PH.D.
• Danielle O'Donnell

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glenview, IL
• Providers in Glenview, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.