NPIMap

Organization Active NPI

Michelle L Conrad LLC

  • Mental Health Counselor
  • Orland Park, IL
National Provider Identifier
1740660950
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180009159 Issued in IL
Legal business name
MICHELLE L CONRAD LLC
Practice address
9611 165TH St
Suite 16
Orland Park, IL 60467-5654
Phone
(708) 846-3726
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Michelle Conrad, L.C.P.C.
Title
Therapist
Phone
(708) 846-3726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180009159 IL Primary

Addresses

Primary practice location

9611 165TH St
Suite 16
Orland Park, IL 60467-5654

Mailing address

9611 165TH St
Suite 16
Orland Park, IL 60467-5654
Phone (708) 846-3726

Other names 1

  • Personal Balance Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

9611 165th St
Ste 16
Orland Park, IL 60467
Phone (708) 846-3726

Practitioners & affiliated clinicians

Practitioners 3

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": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1740660950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 165TH ST",
            "address_2": "SUITE 16",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675654",
            "telephone_number": "708-846-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9611 165TH ST",
            "address_2": "SUITE 16",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675654",
            "telephone_number": "708-846-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L CONRAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-846-3726",
        "authorized_official_credential": "L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Balance Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.