Center for Self-Actualization

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008083 Issued in IL

Legal business name

CENTER FOR SELF-ACTUALIZATION

Practice address

3317 W 95TH St
Suite 101
Evergreen Park, IL 60805-2243

Phone

(312) 927-0216

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Tammy Rohan Bobel, LCPC

Title

Director

Phone

(312) 927-0216

Specialties & licenses 2

Addresses

Practitioners 1

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

• Tammy Rohan Bobel, LCPC

  • Mental Health Counselor
  • Evergreen Park, IL
  • NPI 1902126139

  Professional

  NPD (past)

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1922423508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 W 95TH ST",
            "address_2": "SUITE 101",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052243",
            "telephone_number": "312-927-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W 95TH ST",
            "address_2": "SUITE 101",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052243",
            "telephone_number": "312-927-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SELF-ACTUALIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "BOBEL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ROHAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-927-0216",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008956",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Carter, ED.D., LPC, CC-AASP
• Clifford Castillo, RPH
• Michelle Catron, MSW
• Cedar Court Counseling Center
• Celestial Home Medical Supply and Equipment Corporation
• Central Regional Laboratories, LLC
• Cepamerica Illinois LLP
• Stephanie J Cermak, PA-C
• Matthew William Cesario
• CGT Medical, PLLC

• 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 Feb 19, 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.