Organization Active NPI

Vine Counseling Center

  • Mental Health Counselor
  • Naperville, IL
National Provider Identifier
1790286466
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VINE COUNSELING CENTER
Practice address
600 S Washington St Ste 302
Naperville, IL 60540-6667
Phone
(773) 914-2175
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Authorized official

Name
Dr. Aimee Michele Koerner-Frank, LCPC, PSYD
Title
Therapist
Phone
(773) 914-2175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IL Primary

Addresses

Primary practice location

600 S Washington St Ste 302
Naperville, IL 60540-6667

Mailing address

600 S Washington St Ste 302
Naperville, IL 60540-6667
Phone (773) 914-2175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1790286466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S WASHINGTON ST STE 302",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406667",
            "telephone_number": "773-914-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WASHINGTON ST STE 302",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406667",
            "telephone_number": "773-914-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "KOERNER-FRANK",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "773-914-2175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC, PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.