Fox River Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.010534 Issued in IL

Legal business name

FOX RIVER COUNSELING LLC

Practice address

150 Houston St
Suite 300
Batavia, IL 60510-1953

Phone

(847) 909-3764

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Marianne K Kelly, LCSW

Title

Managing Member

Phone

(847) 909-3764

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1821350612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HOUSTON ST",
            "address_2": "SUITE 300",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101953",
            "telephone_number": "847-909-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HOUSTON ST",
            "address_2": "SUITE 300",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101953",
            "telephone_number": "847-909-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX RIVER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "847-909-3764",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flower Power Natural Medicine LLC
• Focal Point Specs LTD
• William Eric Foerstel, DDS
• Michael John Folkerts, CRNA
• Michael Forbes
• Fox Valley Children'S Medicine, S.C.
• Fox Valley Counseling Center PC
• Fox Valley Medicine, LTD.
• Emma Milnamow Fox
• Kristine Francis, SLP

• Clinical Social Worker in Batavia, IL
• Providers in Batavia, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.