NPIMap

Organization Active NPI

Sa Integrative Health LLC

  • Counselor
  • Palos Park, IL
National Provider Identifier
1790293249
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180010389 Issued in IL
Legal business name
SA INTEGRATIVE HEALTH LLC
Practice address
12727 S 82ND CT
Palos Park, IL 60464-2018
Phone
(708) 590-9533
Fax
(708) 590-9533
NPI assigned
Jan 18, 2018
Last updated
Jan 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Saulena Antanaviciene, LCPCNPI 1356697239
Title
Manager
Phone
(708) 590-9533

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 180010389 IL Primary

Addresses

Primary practice location

12727 S 82ND CT
Palos Park, IL 60464-2018

Mailing address

12727 S 82ND CT
Palos Park, IL 60464-2018
Phone (708) 590-9533

National Provider Directory

National Provider Directory

Locations

10062 W 190th Pl
Ste 101
Mokena, IL 60448

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1790293249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 S 82ND CT",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604642018",
            "telephone_number": "708-590-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 S 82ND CT",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604642018",
            "telephone_number": "708-590-9533",
            "fax_number": "708-590-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "ANTANAVICIENE",
        "authorized_official_first_name": "SAULENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-590-9533",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180010389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

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