Organization Active NPI

The Couple'S Place

Doing business as The Couple's Place of Lake County

  • Clinical Social Worker
  • Grayslake, IL
National Provider Identifier
1811574411
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE COUPLE'S PLACE
Doing business as
The Couple's Place of Lake County
Practice address
649 Barron Blvd
Grayslake, IL 60030-1343
Phone
(847) 652-0453
Fax
(847) 261-9972
NPI assigned
Mar 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Authorized official

Name
Adam Krieger, LCSWNPI 1932345493
Title
Owner/Therapist
Phone
(847) 652-0453

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

649 Barron Blvd
Grayslake, IL 60030-1343

Mailing address

36732 N Elizabeth Dr
Lake Villa, IL 60046-9411
Phone (847) 652-0453

Other names 1

  • The Couple's Place of Lake County Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616889600000",
    "number": "1811574411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36732 N ELIZABETH DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469411",
            "telephone_number": "847-652-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 BARRON BLVD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301343",
            "telephone_number": "847-652-0453",
            "fax_number": "847-261-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUPLE'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "847-652-0453",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Couple's Place of Lake County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.