Organization Active NPI

Collaborative Consulting LLC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1831402098
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180004420 Issued in IL
Legal business name
COLLABORATIVE CONSULTING LLC
Practice address
4055 Book Rd
Alleluia Lutheran Church
Naperville, IL 60564-9667
Phone
(630) 904-3311
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Aili C Wachtel, LCPCNPI 1912211319
Title
Counselor/Consultant
Phone
(630) 335-5187

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180004420 IL Primary

Addresses

Primary practice location

4055 Book Rd
Alleluia Lutheran Church
Naperville, IL 60564-9667

Mailing address

2607 Hoddam Rd
Naperville, IL 60564-5874
Phone (630) 335-5187

National Provider Directory

National Provider Directory

Locations

4055 Book Rd
Naperville, IL 60564
Phone (630) 904-3311

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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1831402098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 HODDAM RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645874",
            "telephone_number": "630-335-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 BOOK RD",
            "address_2": "ALLELUIA LUTHERAN CHURCH",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649667",
            "telephone_number": "630-904-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "WACHTEL",
        "authorized_official_first_name": "AILI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COUNSELOR/CONSULTANT",
        "authorized_official_telephone_number": "630-335-5187",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.