Soul Friends Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149.008719 Issued in IL

Legal business name

SOUL FRIENDS COUNSELING SERVICES

Practice address

1080 Nerge Rd
Elk Grove Village, IL 60007-3235

Phone

(630) 373-7149

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Desmond Raftery, LCSWNPI 1922100825

Title

President

Phone

(630) 373-7149

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Desmond Paul Raftery, LCSW

  • Mental Health Counselor
  • Elk Grove Village, IL
  • NPI 1922100825
  NPD (past) Authorized official

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1922496355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 PENRITH AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073612",
            "telephone_number": "630-373-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 NERGE RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073235",
            "telephone_number": "630-373-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL FRIENDS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "RAFTERY",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-373-7149",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.008719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitza Solis, LCSW
• Sonus-USA, Inc.
• Ajay Sood, M.D.
• Yevgeniya Sorokin, MD
• Janelle Marie Souders
• Paul C Sowray, M.D.
• Renee P Spacapan, APN
• Linda Springer, LCPC
• Shawna Stachnik
• Laetitia Stamboliu, MD

• Community/Behavioral Health Agency in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.