Organization Active NPI

Connie Vaisvilas-Taylor & Associates in Counseling P.C.

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1891854253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CONNIE VAISVILAS-TAYLOR & ASSOCIATES IN COUNSELING P.C.
Practice address
3033 W Jefferson St
Suite 219
Joliet, IL 60435-5261
Phone
(815) 741-2300
Fax
(815) 741-8003
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Connie L Vaisvilas-Taylor, LCPC, CEAP, SAP,CADCNPI 1417005745
Title
President
Phone
(815) 741-2300

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 Counselor 101YP2500X IL Primary

Addresses

Primary practice location

3033 W Jefferson St
Suite 219
Joliet, IL 60435-5261

Mailing address

3033 W Jefferson St
Suite 219
Joliet, IL 60435-5261
Phone (815) 741-2300

Other identifiers 2

IdentifierTypeStateIssuer
0009932372OtherILPROVIDER NUMBER BCBS
339054OtherILPROVIDER NUMBER VALUE OPT

National Provider Directory

National Provider Directory
Tax ID family
Connie Vaisvilas-Taylor Associates in Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891854253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST",
            "address_2": "SUITE 219",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355261",
            "telephone_number": "815-741-2300",
            "fax_number": "815-741-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST",
            "address_2": "SUITE 219",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355261",
            "telephone_number": "815-741-2300",
            "fax_number": "815-741-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE VAISVILAS-TAYLOR & ASSOCIATES IN COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAISVILAS-TAYLOR",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-2300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, CEAP, SAP,CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER BCBS",
            "identifier": "0009932372",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER VALUE OPT",
            "identifier": "339054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.