Organization Active NPI

Conscious Counseling & Coaching Limited

  • Mental Health Counselor
  • Oak Brook, IL
National Provider Identifier
1871014704
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010479 Issued in IL
Legal business name
CONSCIOUS COUNSELING & COACHING LIMITED
Practice address
1010 Jorie Blvd Ste 112
Oak Brook, IL 60523-4446
Phone
(630) 487-0809
Fax
(630) 487-0809
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Authorized official

Name
Ms. Dawn Marie Miskus, LCPCNPI 1619427259
Title
Owner
Phone
(630) 487-0809

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 180.010479 IL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180.010479 IL Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.010479 IL

Addresses

Primary practice location

1010 Jorie Blvd Ste 112
Oak Brook, IL 60523-4446

Mailing address

1129 Timber Trails Rd
Downers Grove, IL 60516

Other identifiers 1

IdentifierTypeStateIssuer
1619427259OtherILLCPC

National Provider Directory

National Provider Directory

Locations

1010 Jorie Blvd
Ste 112
Oak Brook, IL 60523
Phone (630) 537-1666

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": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1871014704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 TIMBER TRAILS RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 112",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234446",
            "telephone_number": "630-487-0809",
            "fax_number": "630-487-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS COUNSELING & COACHING LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "MISKUS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-487-0809",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.010479",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010479",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "1619427259",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.