Organization Active NPI

Resilient Life Counseling and Consulting PLLC

  • Professional Counselor
  • Crystal Lake, IL
National Provider Identifier
1861173866
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESILIENT LIFE COUNSELING AND CONSULTING PLLC
Practice address
455 Coventry LN Ste 105
Crystal Lake, IL 60014-7570
Phone
(779) 704-0931
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Authorized official

Name
Annemarie Katherine Husser, MA, LCPCNPI 1013160506
Title
Owner/Psychotherapist
Phone
(779) 704-0931

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

455 Coventry LN Ste 105
Crystal Lake, IL 60014-7570

Mailing address

455 Coventry LN Ste 105
Crystal Lake, IL 60014-7570
Phone (779) 704-0931

Other identifiers 1

IdentifierTypeStateIssuer
1013160506OtherILNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

455 Coventry Ln
Ste 105
Crystal Lake, IL 60014
Phone (779) 704-0931

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714262400000",
    "number": "1861173866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 COVENTRY LN STE 105",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147570",
            "telephone_number": "779-704-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 COVENTRY LN STE 105",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147570",
            "telephone_number": "779-704-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT LIFE COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "HUSSER",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "779-704-0931",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1013160506",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; 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.