Organization Active NPI

Deeper Insight Counseling Services PC

  • Adult Mental Health Clinic/Center
  • Homewood, IL
National Provider Identifier
1770250649
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DEEPER INSIGHT COUNSELING SERVICES PC
Practice address
1820 Ridge Rd Ste 200
Homewood, IL 60430-1748
Phone
(773) 758-2901
Fax
(708) 585-6222
NPI assigned
Aug 27, 2021
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Mr. John Augustine Nsimbi, LCPCNPI 1285964742
Title
Therapist
Phone
(773) 758-2901

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

1820 Ridge Rd Ste 200
Homewood, IL 60430-1748

Mailing address

1820 Ridge Rd Ste 200
Homewood, IL 60430-1748
Phone (773) 758-2901

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1770250649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD STE 200",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301748",
            "telephone_number": "773-758-2901",
            "fax_number": "708-585-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD STE 200",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301748",
            "telephone_number": "773-758-2901",
            "fax_number": "708-585-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPER INSIGHT COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "NSIMBI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUGUSTINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "773-758-2901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.