NPIMap

Organization Active NPI

Simple Essence Counseling & Wellness

  • Professional Counselor
  • Waukegan, IL
National Provider Identifier
1710738570
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SIMPLE ESSENCE COUNSELING & WELLNESS
Practice address
2500 Village Park Dr Apt 205
Waukegan, IL 60087-4105
Phone
(217) 853-7430
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
La.Thiang Arnold, LCPCNPI 1154930139
Title
Founder/ Ceo
Phone
(217) 853-7430

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2500 Village Park Dr Apt 205
Waukegan, IL 60087-4105

Mailing address

2500 Village Park Dr Apt 205
Waukegan, IL 60087-4105
Phone (217) 853-7430

National Provider Directory

National Provider Directory

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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1710738570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 VILLAGE PARK DR APT 205",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600874105",
            "telephone_number": "217-853-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 VILLAGE PARK DR APT 205",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600874105",
            "telephone_number": "217-853-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE ESSENCE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "LA.THIANG",
        "authorized_official_title_or_position": "FOUNDER/ CEO",
        "authorized_official_telephone_number": "217-853-7430",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.