Douglas Paul Hinderer

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166001349 Issued in IL

Practice address

400 Lathrop Ave Ste LL95
River Forest, IL 60305-1875

Phone

(708) 845-5500

Fax

(708) 845-5505

NPI assigned

Jan 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chicago Christian Counseling Center Inc

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1083664510
  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1801436100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 S 73RD AVE STE G",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623425",
            "telephone_number": "708-845-5500",
            "fax_number": "708-845-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LATHROP AVE STE LL95",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051875",
            "telephone_number": "708-845-5500",
            "fax_number": "708-845-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18425 W Creek Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604776768",
            "country_code": "US",
            "telephone_number": "708-845-5500",
            "fax_number": "708-845-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINDERER",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth R. Heiferman, D.D.S.
• Kenneth S Heiferman, MD
• Chardonnay Henry
• Heritage Professional Associates
• Highland Park CVS, L.L.C.
• Kristie Jo Hittle, MA, ATC, LAT
• Nicole Hok, OD
• Home Dialysis Services North Chicago LLC
• Christian Mark Hommes, PA-C
• Estefania Huesca

• Marriage & Family Therapist in River Forest, IL
• Providers in River Forest, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.