Active NPI
Sojourner Center for Counseling, Inc.
- Professional Counselor
- Hawthorn Woods, IL
National Provider Identifier
1700895877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SOJOURNER CENTER FOR COUNSELING, INC.
- Practice address
- 10 Executive Dr
Suite 105
Hawthorn Woods, IL 60047-7509 - Phone
- (847) 566-3136
- NPI assigned
- Aug 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Paula Jean Tipton, M.A. LCPC
- Title
- President/Owner
- Phone
- (847) 566-3136
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
10 Executive Dr
Suite 105
Hawthorn Woods, IL 60047-7509
Mailing address
10 Executive Dr
Suite 105
Hawthorn Woods, IL 60047-7509
Phone (847) 566-3136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007854629 | Other | IL | AETNA |
| 04932018 | Other | IL | BLUE CROSS & BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
10 Executive Dr
Ste 105
Hawthorn Woods, IL 60047
Phone (847) 438-5336
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": "1154822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700895877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 EXECUTIVE DR",
"address_2": "SUITE 105",
"city": "HAWTHORN WOODS",
"state": "IL",
"postal_code": "600477509",
"telephone_number": "847-566-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 EXECUTIVE DR",
"address_2": "SUITE 105",
"city": "HAWTHORN WOODS",
"state": "IL",
"postal_code": "600477509",
"telephone_number": "847-566-3136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOJOURNER CENTER FOR COUNSELING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TIPTON",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "847-566-3136",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A. LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007854629",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "04932018",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorn Woods, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.