NPIMap

Organization Active NPI

Revisions Counseling Services, LLC

  • Professional Counselor
  • Bolingbrook, IL
National Provider Identifier
1881096949
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008929 Issued in IL
Legal business name
REVISIONS COUNSELING SERVICES, LLC
Practice address
190 Lily Cache LN
Bolingbrook, IL 60440-3415
Phone
(630) 481-6644
Fax
(630) 708-7632
NPI assigned
Sep 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Authorized official

Name
Ms. Regina Thomas, LCPC
Title
Executive Director
Phone
(630) 481-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.008929 IL Primary

Addresses

Primary practice location

190 Lily Cache LN
Bolingbrook, IL 60440-3415

Mailing address

105 Canterbury LN
#1996
Bolingbrook, IL 60440-0490
Phone (630) 481-6644

National Provider Directory

National Provider Directory

Locations

190 Lily Cache Ln
Bolingbrook, IL 60440
Phone (630) 286-9770

105 Canterbury Ln
Unit 1996
Bolingbrook, IL 60440

Practitioners & affiliated clinicians

Practitioners 3

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": "1411171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411171200000",
    "number": "1881096949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CANTERBURY LN",
            "address_2": "#1996",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604400490",
            "telephone_number": "630-481-6644",
            "fax_number": "630-708-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 LILY CACHE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403415",
            "telephone_number": "630-481-6644",
            "fax_number": "630-708-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISIONS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-481-6644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.