Organization Active NPI

Wired to Connect Counseling PLLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1831836378
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WIRED TO CONNECT COUNSELING PLLC
Practice address
4213 N Kedvale Ave Line
1I
Chicago, IL 60641
Phone
(224) 585-9849
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Rimma IsaacNPI 1538614607
Title
Owner
Phone
(224) 585-9849

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

4213 N Kedvale Ave Line
1I
Chicago, IL 60641

Mailing address

310 Busse Hwy # 246
Park Ridge, IL 60068-3251
Phone (224) 585-9849

National Provider Directory

National Provider Directory

Locations

310 Busse Hwy
Park Ridge, IL 60068
Phone (312) 799-0177

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": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1831836378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BUSSE HWY # 246",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683251",
            "telephone_number": "224-585-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 N KEDVALE AVE LINE",
            "address_2": "1I",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60641",
            "telephone_number": "224-585-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRED TO CONNECT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "RIMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-585-9849"
    },
    "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 Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.