Terry Lee D'Amico & Associates in Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180005604 Issued in IL

Legal business name

TERRY LEE D'AMICO & ASSOCIATES IN COUNSELING, LLC

Doing business as

D'Amico & Associates in Counseling, LLC

Practice address

15750 S Bell Rd
Suite 2E
Homer Glen, IL 60491-8412

Phone

(708) 301-6311

Fax

(408) 228-0891

NPI assigned

Aug 11, 2011

Last updated

Oct 25, 2011By 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

Terry Lee D'Amico, MA, LCPC

Title

Owner

Phone

(708) 301-6311

Specialties & licenses 1

Addresses

Other names 1

• D'Amico & Associates in Counseling, LLC Doing business as

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.

• Patricia R Lazuka, LCSW

  • Clinical Social Worker
  • Homer Glen, IL
  • NPI 1114230224
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1780963462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15750 S BELL RD",
            "address_2": "SUITE 2E",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918412",
            "telephone_number": "708-301-6311",
            "fax_number": "408-228-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 S BELL RD",
            "address_2": "SUITE 2E",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918412",
            "telephone_number": "708-301-6311",
            "fax_number": "408-228-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY LEE D'AMICO & ASSOCIATES IN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "TERRY LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-301-6311",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180005604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D'Amico & Associates in Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Homer Glen, IL
• Providers in Homer Glen, 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 Oct 25, 2011; 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.