Restoring Lives Overcoming Addictions

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

RESTORING LIVES OVERCOMING ADDICTIONS

Practice address

11187 Dundee Rd Ste 101
Huntley, IL 60142-9246

Phone

(312) 675-4205

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Timothy Lloyd Cohagen

Title

President

Phone

(917) 334-0420

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1770061822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10469 LANCASTER ST",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426793",
            "telephone_number": "917-334-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11187 DUNDEE RD STE 101",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429246",
            "telephone_number": "312-675-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORING LIVES OVERCOMING ADDICTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "COHAGEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-334-0420"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Quinn
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• Meghan Carroll Reed
• Monet Reed, NURSE PRACTITIONER
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• Meagan Riffe
• Chung S Rim, M.D.
• Christopher Ring, MD
• Kristi Ritter, RN CDCES

• Counseling Psychologist in Huntley, IL
• Providers in Huntley, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.