Active NPI
Coacherapy LLC
- Professional Counselor
- Lisle, IL
National Provider Identifier
1831820448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- COACHERAPY LLC
- Practice address
- 650 Warrenville Rd Ste 100
Lisle, IL 60532-4315 - Phone
- (313) 290-0315
- NPI assigned
- Jun 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadia Natasha Walker, LPC
- Title
- Professional Counselor
- Phone
- (331) 290-0315
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
650 Warrenville Rd Ste 100
Lisle, IL 60532-4315
Mailing address
650 Warrenville Rd Ste 100
Lisle, IL 60532-4315
Phone (313) 290-0315
National Provider Directory
National Provider DirectoryLocations
1112 W Boughton Rd
Bolingbrook, IL 60440
Phone (312) 561-4292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Lisle, IL
- NPI 1952054702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1831820448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 WARRENVILLE RD STE 100",
"city": "LISLE",
"state": "IL",
"postal_code": "605324315",
"telephone_number": "313-290-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 WARRENVILLE RD STE 100",
"city": "LISLE",
"state": "IL",
"postal_code": "605324315",
"telephone_number": "313-290-0315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COACHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-23",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "NADIA",
"authorized_official_middle_name": "NATASHA",
"authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "331-290-0315",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.