Active NPI
MJK Purposeful Counseling, LLC
- Clinical Social Worker
- Skokie, IL
National Provider Identifier
1710250246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149011639
- Legal business name
- MJK PURPOSEFUL COUNSELING, LLC
- Practice address
- 5225 Old Orchard Road
Skokie, IL 60077 - Phone
- (312) 217-3597
- NPI assigned
- Feb 14, 2012
- Organization subpart
- Yes
- Parent organization
- MJK PURPOSEFUL COUNSELING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark J. Kant, LCSW
- Title
- Social Worker
- Phone
- (312) 217-3597
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149011639 | IL | Primary |
Addresses
Primary practice location
5225 Old Orchard Road
Skokie, IL 60077
Mailing address
5225 Old Orchard Road
Skokie, IL 60077
Phone (312) 217-3597
National Provider Directory
National Provider Directory- Part of
- MJK Purposeful Counseling LLC
Practitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Skokie, IL
- NPI 1538176037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1710250246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD ROAD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60077",
"telephone_number": "312-217-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 OLD ORCHARD ROAD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60077",
"telephone_number": "312-217-3597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJK PURPOSEFUL COUNSELING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MJK PURPOSEFUL COUNSELING LLC",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "KANT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "312-217-3597",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149011639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.