NPIMap

Organization Active NPI

Energetics Transformative Counseling LLC

  • Professional Counselor
  • Machesney Park, IL
National Provider Identifier
1962071449
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ENERGETICS TRANSFORMATIVE COUNSELING LLC
Practice address
9950 N Alpine Rd Ste 103
Machesney Park, IL 61115-8362
Phone
(815) 871-4299
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Vanessa Kerno, LCPCNPI 1760994701
Title
LCPC
Phone
(815) 871-4299

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 SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

9950 N Alpine Rd Ste 103
Machesney Park, IL 61115-8362

Mailing address

5556 Stockton Dr
Rockford, IL 61109-1795
Phone (815) 871-4299

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1962071449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 STOCKTON DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611091795",
            "telephone_number": "815-871-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 N ALPINE RD STE 103",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611158362",
            "telephone_number": "815-871-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGETICS TRANSFORMATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "KERNO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "815-871-4299",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machesney Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.