Individual provider Active NPI

Teresea Bargewell, LPC, M.A.

  • Professional Counselor
  • New Lenox, IL
National Provider Identifier
1912319146
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178009393 Issued in IL
Practice address
1049 E. Lincoln Hwy
Decision Point Counseling and Career Center
New Lenox, IL 60451
Phone
(312) 218-8483
NPI assigned
May 22, 2014
Last updated
May 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178009393 IL Primary

Addresses

Primary practice location

1049 E. Lincoln Hwy
Decision Point Counseling and Career Center
New Lenox, IL 60451

Mailing address

2046 Susanna Way
Crest Hill, IL 60403-0842
Phone (815) 725-2006

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

LicenseStateTypeSpecialty
178009393ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1912319146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 SUSANNA WAY",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030842",
            "telephone_number": "815-725-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E. LINCOLN HWY",
            "address_2": "DECISION POINT COUNSELING AND CAREER CENTER",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "312-218-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGEWELL",
        "first_name": "TERESEA",
        "name_prefix": "Mrs.",
        "credential": "LPC, M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178009393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

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