Integrative Counseling Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180008293 Issued in IL

Legal business name

INTEGRATIVE COUNSELING GROUP LLC

Doing business as

Integrative Counseling Group

Practice address

1101 Lake St Ste 404
Oak Park, IL 60301-1048

Phone

(708) 608-3538

Fax

(708) 608-3540

NPI assigned

Jul 26, 2018

Organization subpart

No

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

Authorized official

Name

Ashley F Pinto, MA, LCPCNPI 1346772795

Title

Owner/Psychotherapist

Phone

(708) 608-3538

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Integrative Counseling Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Pinto, LCPC

  • Professional Counselor
  • Oak Park, IL
  • NPI 1346772795

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1740767268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST STE 404",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011048",
            "telephone_number": "708-608-3538",
            "fax_number": "708-608-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST STE 404",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011048",
            "telephone_number": "708-608-3538",
            "fax_number": "708-608-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "708-608-3538",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1346772795",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.