Growing Forward Counseling Services PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GROWING FORWARD COUNSELING SERVICES PLLC

Practice address

4557 N Lowell Ave
Chicago, IL 60630-4105

Phone

(774) 823-0605

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By 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

Benjamin MengebierNPI 1891333811

Title

Founder, LCPC

Phone

(774) 823-0605

Specialties & licenses 1

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.

• Benjamin N Mengebier, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1891333811
  NPD Authorized official

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1710635990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4547 N LEAVITT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251629",
            "telephone_number": "774-823-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4557 N LOWELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304105",
            "telephone_number": "774-823-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING FORWARD COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "MENGEBIER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "FOUNDER, LCPC",
        "authorized_official_telephone_number": "774-823-0605"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.