Organization Active NPI

Transmogrify Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Plainfield, IL
National Provider Identifier
1720532807
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
180007521 Issued in IL
Legal business name
TRANSMOGRIFY COUNSELING SERVICES LLC
Practice address
23819 W Mill St
Suite 6
Plainfield, IL 60544-3457
Phone
(708) 846-0864
Fax
(815) 327-0214
NPI assigned
Aug 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Jamie T Pagano, MA, LCPC
Title
Owner/Therapist
Phone
(708) 846-0864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 180007521 IL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 180007521 IL

Addresses

Primary practice location

23819 W Mill St
Suite 6
Plainfield, IL 60544-3457

Mailing address

23819 W Mill St
Suite 6
Plainfield, IL 60544-3457
Phone (708) 846-0864

National Provider Directory

National Provider Directory

Locations

23819 W Mill St
Ste 106
Plainfield, IL 60544
Phone (708) 846-0864

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": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1720532807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23819 W MILL ST",
            "address_2": "SUITE 6",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443457",
            "telephone_number": "708-846-0864",
            "fax_number": "815-327-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23819 W MILL ST",
            "address_2": "SUITE 6",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443457",
            "telephone_number": "708-846-0864",
            "fax_number": "815-327-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSMOGRIFY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "708-846-0864",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "180007521",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "180007521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.