NPIMap

Organization Active NPI

Institute for Motivational Development of Illinois LTD

  • Counselor
  • Lombard, IL
National Provider Identifier
1932241627
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
INSTITUTE FOR MOTIVATIONAL DEVELOPMENT OF ILLINOIS LTD
Practice address
10 E 22ND St Ste 210
Lombard, IL 60148-6108
Phone
(630) 627-5000
Fax
(630) 627-5032
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Cheryl Zepeda, MS, LPC
Title
Director
Phone
(630) 627-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

10 E 22ND St Ste 210
Lombard, IL 60148-6108

Mailing address

10 E 22ND St Ste 210
Lombard, IL 60148-6108
Phone (630) 627-5000

Other identifiers 1

IdentifierTypeStateIssuer
2215154OtherILBCBS OF ILLINOIS

Other names 1

  • The Marriage Clinic Other name

National Provider Directory

National Provider Directory

Locations

10 E 22nd St
Ste 210
Lombard, IL 60148
Phone (630) 627-5000

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1932241627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST STE 210",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486108",
            "telephone_number": "630-627-5000",
            "fax_number": "630-627-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST STE 210",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486108",
            "telephone_number": "630-627-5000",
            "fax_number": "630-627-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR MOTIVATIONAL DEVELOPMENT OF ILLINOIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "ZEPEDA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-627-5000",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "2215154",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Marriage Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.