Organization Active NPI

Create Balance Counseling, PLLC

  • Professional Counselor
  • La Grange Park, IL
National Provider Identifier
1942965074
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CREATE BALANCE COUNSELING, PLLC
Practice address
1224 Robinhood LN
La Grange Park, IL 60526-5313
Phone
(773) 919-3746
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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

Authorized official

Name
Erin Mooney-Simkus, LCPC, ATR-BCNPI 1003115460
Title
Owner
Phone
(773) 919-3746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1224 Robinhood LN
La Grange Park, IL 60526-5313

Mailing address

1224 Robinhood LN
La Grange Park, IL 60526-5313
Phone (773) 919-3746

Other practice location 1

522 W Chestnut St Ste 2A
Hinsdale, IL 60521-3173
Phone (773) 217-9117

National Provider Directory

National Provider Directory

Locations

522 W Chestnut St
Ste 2A
Hinsdale, IL 60521
Phone (630) 323-4468

Practitioners & affiliated clinicians

Practitioners 8

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667088000000",
    "number": "1942965074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 ROBINHOOD LN",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265313",
            "telephone_number": "773-919-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 ROBINHOOD LN",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265313",
            "telephone_number": "773-919-3746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 W Chestnut St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213173",
            "country_code": "US",
            "telephone_number": "773-217-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATE BALANCE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A",
        "authorized_official_last_name": "MOONEY-SIMKUS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-919-3746",
        "authorized_official_credential": "LCPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.