Active NPI
Nurturing Families in Illinois
- Adolescent and Children Mental Health Clinic/Center
- Wheaton, IL
National Provider Identifier
1770145104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- NURTURING FAMILIES IN ILLINOIS
- Practice address
- 211 E Illinois St Ste L2
Wheaton, IL 60187-5403 - Phone
- (773) 567-9763
- NPI assigned
- Jul 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julieta Prissell Perez, LCSW, LPHA
- Title
- Board of Director
- Phone
- (773) 567-9763
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Family Psychologist | 103TF0000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| School Social Worker | 1041S0200X | |||
| Psychiatry Physician | 2084P0800X | |||
| Case Management Agency | 251B00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
211 E Illinois St Ste L2
Wheaton, IL 60187-5403
Mailing address
211 E Illinois St Ste L2
Wheaton, IL 60187-5403
Phone (773) 567-9763
National Provider Directory
National Provider DirectoryLocations
211 E Illinois St
Ste L2
Wheaton, IL 60187
Phone (773) 567-9763
Practitioners & affiliated clinicians
Practitioners 1
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": "1562371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562371200000",
"number": "1770145104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E ILLINOIS ST STE L2",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875403",
"telephone_number": "773-567-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E ILLINOIS ST STE L2",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875403",
"telephone_number": "773-567-9763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURTURING FAMILIES IN ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-06",
"last_updated": "2019-07-06",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "JULIETA",
"authorized_official_middle_name": "PRISSELL",
"authorized_official_title_or_position": "BOARD OF DIRECTOR",
"authorized_official_telephone_number": "773-567-9763",
"authorized_official_credential": "LCSW, LPHA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.