Active NPI
Access Counseling Center
- Clinical Social Worker
- Hazel Crest, IL
National Provider Identifier
1962616904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-007753
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Emil Thurman, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521834 | Other | IL | VALUEOPTIONS |
| 784444000 | Other | IL | MAGELLAN |
| 55900C | Other | IL | PSYCHEALTH |
| 1634964 | Other | IL | BLUE CROSS BLUE SHIELD |
| 316653 | Other | IL | MHN MANAGED HEALTH NETWOR |
| 9367411 | Other | IL | PHCS PRIVATE HEALTH CARE |
| 12278316 | Other | IL | MULTIPLAN |
| T9190 | Other | IL | APS |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Hazel Crest, IL
- NPI 1205049194
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.