NPIMap

Organization Active NPI

Holistic Refinement Interventions

  • Professional Counselor
  • Olympia Fields, IL
National Provider Identifier
1962102483
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HOLISTIC REFINEMENT INTERVENTIONS
Practice address
19900 Governors Dr Ste 201
Olympia Fields, IL 60461-1061
Phone
(708) 329-8871
NPI assigned
Mar 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Rouchelle Macon, LCPCNPI 1326518523
Title
Manager
Phone
(708) 329-8871

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

19900 Governors Dr Ste 201
Olympia Fields, IL 60461-1061

Mailing address

19900 Governors Dr Ste 201
Olympia Fields, IL 60461-1061
Phone (708) 329-8871

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1962102483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 201",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611061",
            "telephone_number": "708-329-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 201",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611061",
            "telephone_number": "708-329-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC REFINEMENT INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "MACON",
        "authorized_official_first_name": "ROUCHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-329-8871",
        "authorized_official_credential": "LCPC"
    },
    "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 Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.