Envision Therapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ENVISION THERAPY, PLLC

Practice address

900 North Shore Dr Ste 200
Lake Bluff, IL 60044-2225

Phone

(847) 922-5031

Fax

(847) 234-1191

NPI assigned

Nov 27, 2019

Last updated

Nov 27, 2019By 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

Ms. Donna Marie Oldenburg, LCPC, NCCNPI 1972012672

Title

Owner, Psychotherapist

Phone

(847) 922-5031

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Donna Marie Oldenburg, LCPC, NCC, CCMHC

  • Professional Counselor
  • Lake Bluff, IL
  • NPI 1972012672
  Authorized official Same address or phone

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1760028542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W WASHINGTON AVE",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442036",
            "telephone_number": "847-922-5031",
            "fax_number": "847-234-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH SHORE DR STE 200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442225",
            "telephone_number": "847-922-5031",
            "fax_number": "847-234-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "OLDENBURG",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-922-5031",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Dunn
• Abbey E Edmonds, DPT
• Edumedia Inc.
• Ei Baby Doctor PC
• Elaine Dafnis LCPC
• Paige Alexandria Enwright, DC
• Kysa R Epstein, LCPC
• Stephanie Escovar
• Neda Esfahani
• Kari Christopherson Falls, LCSW

• Community/Behavioral Health Agency in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.