Organization Active NPI

Fonda Lewis Insightful Counseling, PLLC

  • Mental Health Counselor
  • Arlington Heights, IL
National Provider Identifier
1952916058
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FONDA LEWIS INSIGHTFUL COUNSELING, PLLC
Practice address
4227 N Salem Dr
Arlington Heights, IL 60004-7902
Phone
(847) 975-6294
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Ms. Fonda Gail Lewis, MS, LCPC, NCCNPI 1437419512
Title
Owner
Phone
(847) 975-6294

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4227 N Salem Dr
Arlington Heights, IL 60004-7902

Mailing address

4227 N Salem Dr
Arlington Heights, IL 60004-7902
Phone (847) 975-6294

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1952916058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 N SALEM DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047902",
            "telephone_number": "847-975-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 N SALEM DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047902",
            "telephone_number": "847-975-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONDA LEWIS INSIGHTFUL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "FONDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-975-6294",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.