NPIMap

Organization Active NPI

The Therapy Tree D.B.a. Birth to Three & Beyond Pediatric Therapies

  • Speech-Language Pathologist
  • Lake Villa, IL
National Provider Identifier
1710047964
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146005107 Issued in IL
Legal business name
THE THERAPY TREE D.B.A. BIRTH TO THREE & BEYOND PEDIATRIC THERAPIES
Practice address
89 Cedar Ave
Lake Villa, IL 60046-8411
Phone
(847) 265-7300
Fax
(847) 265-7301
NPI assigned
Dec 11, 2006
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Karin Richter
Title
Office Manager
Phone
(847) 265-7300

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178003554 IL
Mental Health Counselor 101YM0800X 180004644 IL
Specialist 174400000X 056006553 IL
Specialist 174400000X 056005900 IL
Specialist 174400000X 056007775 IL
Specialist 174400000X 070002049 IL
Specialist 174400000X 070010601 IL
Specialist 174400000X 070014701 IL
Speech-Language Pathologist 235Z00000X 242000307 IL
Speech-Language Pathologist 235Z00000X 146005107 IL Primary

Addresses

Primary practice location

89 Cedar Ave
Lake Villa, IL 60046-8411

Mailing address

PO Box 764
Lake Villa, IL 60046-0764
Phone (847) 265-7300

Other identifiers 1

IdentifierTypeStateIssuer
04932271OtherILBLUE SHIELD PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Birth to Three Beyond Pediatric Therapies 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.

Locations

509 W Old Northwest Hwy
Ste 190
Barrington, IL 60010
Phone (224) 633-9685

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1710047964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600460764",
            "telephone_number": "847-265-7300",
            "fax_number": "847-265-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CEDAR AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468411",
            "telephone_number": "847-265-7300",
            "fax_number": "847-265-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY TREE D.B.A. BIRTH TO THREE & BEYOND PEDIATRIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-265-7300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178003554",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004644",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "056006553",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "056005900",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "056007775",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "070002049",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "070010601",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "070014701",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242000307",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "04932271",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.