Integrative Emotional Enrichment Services PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006343 Issued in IL

Legal business name

INTEGRATIVE EMOTIONAL ENRICHMENT SERVICES PC

Practice address

1440 Techny Rd
Northbrook, IL 60062-5447

Phone

(847) 412-0922

Fax

(847) 412-0756

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Deborah K. Mestas, LCPC

Title

President

Phone

(847) 412-0922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1831416643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625447",
            "telephone_number": "847-412-0922",
            "fax_number": "847-412-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 TECHNY RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625447",
            "telephone_number": "847-412-0922",
            "fax_number": "847-412-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE EMOTIONAL ENRICHMENT SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "MESTAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-412-0922",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006343",
            "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 Sep 2, 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.