Individual provider Active NPI

Scott Henry Van Slee, MS, LPC

  • Professional Counselor
  • Bloomingdale, IL
National Provider Identifier
1942843248
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178014787 Issued in IL
Practice address
109 Fairfield Way Ste 205
Bloomingdale, IL 60108-1500
Phone
(815) 272-3476
NPI assigned
Oct 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178014787 IL Primary

Addresses

Primary practice location

109 Fairfield Way Ste 205
Bloomingdale, IL 60108-1500

Mailing address

109 Fairfield Way Ste 205
Bloomingdale, IL 60108-1500

Other practice location 1

20635 Abbey Woods Ct N Ste 309
Frankfort, IL 60423-3217
Phone (815) 464-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
178014787ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Behavioral Solutions Group, PLLC Professional CurrentSince May 16, 2021 Accepting new patients

Locations

109 Fairfield Way
Ste 205
Bloomingdale, IL 60108
Phone (630) 237-4446

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1942843248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FAIRFIELD WAY STE 205",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FAIRFIELD WAY STE 205",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081500",
            "telephone_number": "815-272-3476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20635 Abbey Woods Ct N Ste 309",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604233217",
            "country_code": "US",
            "telephone_number": "815-464-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN SLEE",
        "first_name": "SCOTT",
        "middle_name": "HENRY",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.