Organization Active NPI

Access Counseling Center

  • Clinical Social Worker
  • Hazel Crest, IL
National Provider Identifier
1962616904
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-007753 Issued in IL
Legal business name
ACCESS COUNSELING CENTER
Practice address
330 W. 177TH Street
Suite 3F
Hazel Crest, IL 60430
Phone
(798) 408-9125
Fax
(708) 799-1889
NPI assigned
May 9, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Robert Emil Thurman, LCSWNPI 1205049194
Title
President Ceo
Phone
(773) 419-8288

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
Clinical Social Worker 1041C0700X 149-007753 IL Primary

Addresses

Primary practice location

330 W. 177TH Street
Suite 3F
Hazel Crest, IL 60430

Mailing address

18303 Robin LN
Homewood, IL 60430-2856
Phone (773) 419-8288

Other identifiers 8

IdentifierTypeStateIssuer
521834OtherILVALUEOPTIONS
784444000OtherILMAGELLAN
55900COtherILPSYCHEALTH
1634964OtherILBLUE CROSS BLUE SHIELD
316653OtherILMHN MANAGED HEALTH NETWOR
9367411OtherILPHCS PRIVATE HEALTH CARE
12278316OtherILMULTIPLAN
T9190OtherILAPS

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1962616904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 ROBIN LN",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302856",
            "telephone_number": "773-419-8288",
            "fax_number": "708-799-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W. 177TH STREET",
            "address_2": "SUITE 3F",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60430",
            "telephone_number": "798-408-9125",
            "fax_number": "708-799-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "773-419-8288",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "521834",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "784444000",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHEALTH",
            "identifier": "55900C",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1634964",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN MANAGED HEALTH NETWOR",
            "identifier": "316653",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PRIVATE HEALTH CARE",
            "identifier": "9367411",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12278316",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "T9190",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.