Active NPI
Autumn Leaf Counseling
- Community/Behavioral Health Agency
- Downers Grove, IL
National Provider Identifier
1922668847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AUTUMN LEAF COUNSELING
- Practice address
- 943 Maple Ave
Downers Grove, IL 60515-4973 - Phone
- (630) 346-6713
- NPI assigned
- Jun 13, 2019
- Last updated
- Jun 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jorie Miklos
- Title
- Counselor
- Phone
- (630) 346-6713
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
943 Maple Ave
Downers Grove, IL 60515-4973
Mailing address
943 Maple Ave
Downers Grove, IL 60515-4973
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Hinsdale, IL
- NPI 1770959454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560384000000",
"number": "1922668847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 MAPLE AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 MAPLE AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154973",
"telephone_number": "630-346-6713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTUMN LEAF COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A",
"authorized_official_last_name": "MIKLOS",
"authorized_official_first_name": "JORIE",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "630-346-6713"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.