Organization Active NPI

Coacherapy LLC

  • Professional Counselor
  • Lisle, IL
National Provider Identifier
1831820448
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Nadia Natasha Walker, LPCNPI 1952054702
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.