Coaching and Therapeutic Interaction

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149001872 Issued in IL

Legal business name

COACHING AND THERAPEUTIC INTERACTION

Practice address

705 Warrenville Rd
Wheaton, IL 60187-6379

Phone

(630) 260-1166

Fax

(630) 344-1315

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Phoebe Van Ham, MSW

Title

Therapist

Phone

(630) 260-1166

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1790909513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WARRENVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876379",
            "telephone_number": "630-260-1166",
            "fax_number": "630-344-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WARRENVILLE RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876379",
            "telephone_number": "630-260-1166",
            "fax_number": "630-344-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHING AND THERAPEUTIC INTERACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "VAN HAM",
        "authorized_official_first_name": "PHOEBE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "630-260-1166",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2233100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazzminn Cleary
• Chenier Clendinen-Vicars
• Melody Cline
• David Clinton, LCPC
• Amanda J Clough
• Tiffany Coats
• Gayle L Cochin-Swidler, RN
• Katie Cockrell, LCSW
• Coduto Counseling Group, P.C.
• Christina M Coduto, LCPC

• Clinical Social Worker in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.