Active NPI
New Leaf Behavioral Health Services, LLC
- Professional Counselor
- Downers Grove, IL
National Provider Identifier
1962809087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.002298
- Legal business name
- NEW LEAF BEHAVIORAL HEALTH SERVICES, LLC
- Practice address
- 5509 Belmont Rd
Suite 1E
Downers Grove, IL 60515-4473 - Phone
- (630) 222-1794
- NPI assigned
- Dec 4, 2014
- Last updated
- Dec 4, 2014
- 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
- Mrs. Dina L Scolan, LCPC
- Title
- Member
- Phone
- (630) 222-1794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.002298 | IL | Primary |
Addresses
Primary practice location
5509 Belmont Rd
Suite 1E
Downers Grove, IL 60515-4473
Mailing address
5509 Belmont Rd
Suite 1E
Downers Grove, IL 60515-4473
Phone (630) 222-1794
National Provider Directory
National Provider DirectoryLocations
5509 Belmont Rd
Ste 1E
Downers Grove, IL 60515
Phone (630) 222-1794
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": "1417651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417651200000",
"number": "1962809087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 BELMONT RD",
"address_2": "SUITE 1E",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154473",
"telephone_number": "630-222-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 BELMONT RD",
"address_2": "SUITE 1E",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154473",
"telephone_number": "630-222-1794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LEAF BEHAVIORAL HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-04",
"last_updated": "2014-12-04",
"status": "A",
"authorized_official_last_name": "SCOLAN",
"authorized_official_first_name": "DINA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "630-222-1794",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.002298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.