McHenry Co. Latino Coalition

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MCHENRY CO. LATINO COALITION

Practice address

110 S Johnson St
Suite 212
Woodstock, IL 60098-3259

Phone

(815) 206-0445

Fax

(815) 206-1056

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Jorge Acosta, LCSWNPI 1598913345

Title

Executive Director

Phone

(815) 206-0445

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.

• Carlos Jorge Acosta, LCSW

  • Clinical Social Worker
  • Woodstock, IL
  • NPI 1598913345
  NPD (past) Authorized official

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1942458781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S JOHNSON ST",
            "address_2": "SUITE 212",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983259",
            "telephone_number": "815-206-0445",
            "fax_number": "815-206-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S JOHNSON ST",
            "address_2": "SUITE 212",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983259",
            "telephone_number": "815-206-0445",
            "fax_number": "815-206-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY CO. LATINO COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-206-0445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mathew, PSY.D
• Christopher Thomas McCarthy, LPC
• Richard Lee McCoy, MA, NCC, LCPC
• Tracy J. McDonald
• Katherine A McGranahan
• McHenry County Department of Health
• McHenry County Department of Health
• McHenry County Mental Health Board
• McHenry County Mental Health Board
• McHenry County Youth Service Bureau

• Community/Behavioral Health Agency in Woodstock, IL
• Providers in Woodstock, 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 Sep 5, 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.