Organization Active NPI

Your Choice

  • Mental Health Counselor
  • Oak Park, IL
National Provider Identifier
1821431628
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.008522 Issued in IL
Legal business name
YOUR CHOICE
Practice address
105 N Marion St
Suite 1
Oak Park, IL 60301-1075
Phone
(571) 421-9842
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Rose Lawrence, LPC
Title
Therapist
Phone
(571) 421-9842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 178.008522 IL Primary

Addresses

Primary practice location

105 N Marion St
Suite 1
Oak Park, IL 60301-1075

Mailing address

105 N Marion St
Suite 1
Oak Park, IL 60301-1075

National Provider Directory

National Provider Directory

Locations

105 N Marion St
Frnt 1
Oak Park, IL 60301
Phone (571) 421-9842

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1821431628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MARION ST",
            "address_2": "SUITE 1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MARION ST",
            "address_2": "SUITE 1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011075",
            "telephone_number": "571-421-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "571-421-9842",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.008522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.