Awareness, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-002919 Issued in IL

Legal business name

AWARENESS, INC.

Practice address

110 Mooney Dr
Suite 1
Bourbonnais, IL 60914-2171

Phone

(815) 370-2020

Fax

(815) 937-6905

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Celia Lyn Stoltz, LCPC

Title

President

Phone

(815) 370-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1821255290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MOONEY DR",
            "address_2": "SUITE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142171",
            "telephone_number": "815-370-2020",
            "fax_number": "815-937-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MOONEY DR",
            "address_2": "SUITE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142171",
            "telephone_number": "815-370-2020",
            "fax_number": "815-937-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "CELIA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-370-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.