The Land of Refuge

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE LAND OF REFUGE

Practice address

5303 W Chicago Ave
Chicago, IL 60651-2828

Phone

(773) 822-2315

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Moore

Title

Manager

Phone

(773) 826-3786

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1841592615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512828",
            "telephone_number": "773-822-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAND OF REFUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-826-3786",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.