Cedar Court Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180000883 Issued in IL

Legal business name

CEDAR COURT COUNSELING CENTER

Practice address

3759 W 95TH St
Suite 3
Evergreen Park, IL 60805-2000

Phone

(708) 403-1770

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Patricia J Miller, LCPCNPI 1366596157

Title

Owner

Phone

(708) 403-1770

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia J Miller, LCPC

  • Addiction (Substance Use Disorder) Counselor
  • Evergreen Park, IL
  • NPI 1366596157

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1891980850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14405 ASHLEY CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 W 95TH ST",
            "address_2": "SUITE 3",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052000",
            "telephone_number": "708-403-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR COURT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-403-1770",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Carlson, DPT, OCS, COMT
• Benjamin Carney, M.D.
• Carla Carter, ED.D., LPC, CC-AASP
• Clifford Castillo, RPH
• Michelle Catron, MSW
• Celestial Home Medical Supply and Equipment Corporation
• Center for Self-Actualization
• Central Regional Laboratories, LLC
• Cepamerica Illinois LLP
• Stephanie J Cermak, PA-C

• Professional Counselor in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.