Cutting Edge Counseling of the North Shore, NFP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CUTTING EDGE COUNSELING OF THE NORTH SHORE, NFP

Practice address

3000 Dundee Rd Ste 418
Northbrook, IL 60062-2436

Phone

(847) 525-7074

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

Peter Bremer

Title

Board Member

Phone

(847) 525-7074

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Allyson Bremer

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1699195826
  NPD
• Megan Renee Laviola, LSW

  • Social Worker
  • Northbrook, IL
  • NPI 1992312581
  NPD
• Tierney Puig, LPC

  • Mental Health Counselor
  • Northbrook, IL
  • NPI 1205654274
  NPD
• Madison Repak, LPC

  • Professional Counselor
  • Northbrook, IL
  • NPI 1821701871
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1720762123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PARK VIEW LN",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600478968",
            "telephone_number": "847-525-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 418",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622436",
            "telephone_number": "847-525-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE COUNSELING OF THE NORTH SHORE, NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "BREMER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "847-525-7074"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz O Cua, DMD MS PC
• Tara Cummings, D.T.
• Christine L Cunningham, ATC
• Payton E Curry, LCSW
• Cutting Edge Counseling of the North Shore
• Cynthia E Jaffe, LTD
• Cynthia E. Jaffe
• Patricia Czarnecki, APN-CNP
• Amy Czauderna
• D Milton Salzer DDS LTD

• Mental Health Counselor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.