Active NPI
Miriam Paull-Binette, LCSW
- Mental Health Counselor
- Glen Ellyn, IL
National Provider Identifier
1881775294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 739 Roosevelt Rd BLDG 7 Suite 115
Glen Ellyn, IL 60137-5877 - Phone
- (630) 212-6196
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
739 Roosevelt Rd BLDG 7 Suite 115
Glen Ellyn, IL 60137-5877
Mailing address
548 Deerpath Rd
Glen Ellyn, IL 60137-4102
Phone (630) 212-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-001577 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881775294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 DEERPATH RD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374102",
"telephone_number": "630-212-6196",
"fax_number": "630-469-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 ROOSEVELT RD BLDG 7 SUITE 115",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375877",
"telephone_number": "630-212-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULL-BINETTE",
"first_name": "MIRIAM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.