Organization Active NPI

Counseling With Purpose LLC

  • Professional Counselor
  • Crystal Lake, IL
National Provider Identifier
1801370200
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COUNSELING WITH PURPOSE LLC
Practice address
7115 Virginia Rd Ste 104
Crystal Lake, IL 60014-3110
Phone
(815) 905-1029
NPI assigned
Sep 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Anita Smullin, LCPC
Title
Owner
Phone
(815) 905-1029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7115 Virginia Rd Ste 104
Crystal Lake, IL 60014-3110

Mailing address

961 Ridgewood LN
Crystal Lake, IL 60014-8381
Phone (815) 905-1029

National Provider Directory

National Provider Directory

Locations

7115 Virginia Rd
Ste 104
Crystal Lake, IL 60014
Phone (224) 239-7620

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1801370200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 RIDGEWOOD LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148381",
            "telephone_number": "815-905-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD STE 104",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143110",
            "telephone_number": "815-905-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING WITH PURPOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "SMULLIN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-905-1029",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.