For the Cause Sti Awareness Charity, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

45175811 Issued in IL

Legal business name

FOR THE CAUSE STI AWARENESS CHARITY, INC.

Practice address

2200 Hassell Rd
Hoffman Estates, IL 60169-2148

Phone

(847) 802-8133

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Octavia Jare'L Coleman, MHSA

Title

Founder/Counselor

Phone

(919) 455-3740

Specialties & licenses 5

Addresses

Other names 1

• FTC Charity Doing business as

Locations

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1962657585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HASSELL RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692148",
            "telephone_number": "847-802-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HASSELL RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692148",
            "telephone_number": "847-802-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR THE CAUSE STI AWARENESS CHARITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_middle_name": "JARE'L",
        "authorized_official_title_or_position": "FOUNDER/COUNSELOR",
        "authorized_official_telephone_number": "919-455-3740",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "45175811",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "1085631",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "45175811",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "45175811",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "45175811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FTC Charity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne C Fleming
• Kevin Florentino, DPT
• Diana Flores
• Oscar Flores
• Natalie Maria Flower, CCC-SLP
• Forest View Podiatry Center
• Karl Stephen Forgeron, D.C.
• Alexander Forowycz, M.D.
• Forrest Behavioral Health LLC
• Katie Forsythe, LCPC

• All providers in Hoffman Estates, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.