NPIMap

Organization Active NPI

Youth & Family Counseling

  • Adult Mental Health Clinic/Center
  • Gurnee, IL
National Provider Identifier
1740908557
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
YOUTH & FAMILY COUNSELING
Practice address
5101 Washington St Ste 2F
Gurnee, IL 60031-2986
Phone
(847) 367-5991
Fax
(224) 300-4956
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Janelle Miller Moravek
Title
Executive Director
Phone
(847) 748-0375

Specialties & licenses 2

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

Addresses

Primary practice location

5101 Washington St Ste 2F
Gurnee, IL 60031-2986

Mailing address

1113 S Milwaukee Ave Ste 104
Libertyville, IL 60048-3759
Phone (847) 367-5991

National Provider Directory

National Provider Directory
Tax ID family
Youth Family Counseling4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5101 Washington St
Ste 2F
Gurnee, IL 60031
Phone (847) 367-5991

1113 S Milwaukee Ave
Ste 104
Libertyville, IL 60048
Phone (847) 367-5991

Practitioners & affiliated clinicians

Practitioners 4

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": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1740908557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S MILWAUKEE AVE STE 104",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483759",
            "telephone_number": "847-367-5991",
            "fax_number": "224-300-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WASHINGTON ST STE 2F",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312986",
            "telephone_number": "847-367-5991",
            "fax_number": "224-300-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH & FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "MILLER MORAVEK",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-748-0375"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.