Firefighter Behavioral Health of Illinois LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.007613 Issued in IL

Legal business name

FIREFIGHTER BEHAVIORAL HEALTH OF ILLINOIS LLC

Practice address

1333 Burr Ridge Pkwy
Suite 200
Burr Ridge, IL 60527-6423

Phone

(815) 557-1267

NPI assigned

Dec 12, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Ann Gura, LCPC

Title

Licensed Clinical Professional Coun

Phone

(815) 557-1267

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1801294418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276423",
            "telephone_number": "815-557-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY",
            "address_2": "SUITE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276423",
            "telephone_number": "815-557-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREFIGHTER BEHAVIORAL HEALTH OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "GURA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "815-557-1267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murray J Favus, MD
• Margaret A Feller, APN
• Ariel Ferguson, PSYD
• Jordan Fiedler, OT
• Alan Fink, PT
• Focused Care Clinicians
• Kenneth Adam Fogel, PSY D
• Kimberly Nora Forst, BCBA
• Eric G Forster, LCSW
• Kathryn Renee Foust Allen, LSW

• Mental Health Counselor in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.