Active NPI
Anthony Juliano, M.A.
- Counselor
- Kenilworth, IL
National Provider Identifier
1891129227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178008240
- Practice address
- 444 Green Bay Rd
Kenilworth, IL 60043-1001 - Phone
- (847) 853-0234
- Fax
- (847) 853-0230
- NPI assigned
- Aug 21, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178008240 | IL | Primary |
Addresses
Primary practice location
444 Green Bay Rd
Kenilworth, IL 60043-1001
Mailing address
444 Green Bay Rd
Kenilworth, IL 60043-1001
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178008240 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afg Guidance Center Kenilworth, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Kenilworth, IL
- NPI 1518237528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1891129227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 GREEN BAY RD",
"city": "KENILWORTH",
"state": "IL",
"postal_code": "600431001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 GREEN BAY RD",
"city": "KENILWORTH",
"state": "IL",
"postal_code": "600431001",
"telephone_number": "847-853-0234",
"fax_number": "847-853-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIANO",
"first_name": "ANTHONY",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178008240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenilworth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.