Organization Active NPI

Therapediatrics, LLC

  • Professional Counselor
  • Vernon Hills, IL
National Provider Identifier
1700142452
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.004942 Issued in IL
Legal business name
THERAPEDIATRICS, LLC
Practice address
200 N Fairway Dr Ste 208
Vernon Hills, IL 60061-1803
Phone
(847) 996-6666
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Hilary Davis, MFT, LPC
Title
Marriage & Family Therapist
Phone
(773) 450-4541

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.004942 IL Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 166.000652 IL

Addresses

Primary practice location

200 N Fairway Dr Ste 208
Vernon Hills, IL 60061-1803

Mailing address

200 N Fairway Dr Ste 208
Vernon Hills, IL 60061-1803
Phone (847) 996-6666

National Provider Directory

National Provider Directory
Tax ID family
Therapediatrics LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1700142452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N FAIRWAY DR STE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611803",
            "telephone_number": "847-996-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N FAIRWAY DR STE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611803",
            "telephone_number": "847-996-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "773-450-4541",
        "authorized_official_credential": "MFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.004942",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.