Elm Centre Counseling and Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180009004 Issued in IL

Legal business name

ELM CENTRE COUNSELING AND WELLNESS LLC

Doing business as

Lydia R Wiede PhD

Practice address

110 E Schiller St
Suite 232
Elmhurst, IL 60126-2858

Phone

(630) 247-5478

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Lydia R Wiede, PHD, LCPCNPI 1164827655

Title

Owner

Phone

(630) 247-5478

Specialties & licenses 1

Addresses

Other names 1

• Lydia R Wiede PhD Doing business as

Locations

Practitioners 1

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

• Lydia Wiede, PHD, LCPC

  • Mental Health Counselor
  • Villa Park, IL
  • NPI 1164827655
  NPD (past) Authorized official

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1922481589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S ILLINOIS AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812959",
            "telephone_number": "630-247-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SCHILLER ST",
            "address_2": "SUITE 232",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262858",
            "telephone_number": "630-247-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM CENTRE COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "WIEDE",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-247-5478",
        "authorized_official_credential": "PHD, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lydia R Wiede PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agron B Elezi, MD.
• Arlinda Elezi, MD
• Jaouad Elhamrini, COTA
• Ashor Elia, DDS
• Kathy A Ellin, PTA
• Elm Chiropractic Fitness Clinic
• Elm Clinical Services LLC
• Svetla Elmatari, FNP-C
• Elmbrook Healthcare & Rehabilitaion Centre, LLC
• Elmbrook Nursing LLC

• Professional Counselor in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.