Active NPI
Sylwia Termena
- Mental Health Counselor
- Bloomingdale, IL
National Provider Identifier
1780262162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180012969
- Practice address
- 109 Fairfield Way Ste 205
Bloomingdale, IL 60108-1500 - Phone
- (773) 319-9157
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180012969 | IL | Primary |
Addresses
Primary practice location
109 Fairfield Way Ste 205
Bloomingdale, IL 60108-1500
Mailing address
109 Fairfield Way Ste 205
Bloomingdale, IL 60108-1500
Phone (773) 319-9158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012969 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1780262162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 FAIRFIELD WAY STE 205",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081500",
"telephone_number": "773-319-9158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 FAIRFIELD WAY STE 205",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081500",
"telephone_number": "773-319-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERMENA",
"first_name": "SYLWIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180012969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.