Congruency Integrated Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONGRUENCY INTEGRATED COUNSELING, PLLC

Practice address

2313 S 4TH Ave
Riverside, IL 60546-1260

Phone

(847) 986-5385

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ewelina Boch, LCSW

Title

Licensed Clinical Social Worker

Phone

(847) 986-5385

Specialties & licenses 1

Addresses

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.

• Ewelina Basisty, MSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1366903601
  NPD

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1942086111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W CALENDAR AVE STE 80",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252325",
            "telephone_number": "847-986-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 S 4TH AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605461260",
            "telephone_number": "847-986-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGRUENCY INTEGRATED COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "BOCH",
        "authorized_official_first_name": "EWELINA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-986-5385",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Cheng, MD
• Premsai Chilakuluri
• Gerald Joseph Ciebien, DDS
• Jean R Clark, JEAN R CLARK
• Jeri Jannine Coffey, D.D.S.
• Cook County (Cook County Health at North Riverside Health)
• Anna Christina Cornejo, LCSW
• Chaiyapon Couropmitree, MD
• Micaela Cruz, RBT
• Mario Ezzar Damian Cardenas, MD

• Clinical Social Worker in Riverside, IL
• Providers in Riverside, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.