Rasidi Consulting Associates Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-005780 Issued in IL

Legal business name

RASIDI CONSULTING ASSOCIATES INC

Practice address

17076 S Park Ave
17076 South Park Ave Suite L
South Holland, IL 60473-3349

Phone

(708) 331-4101

Fax

(708) 331-4755

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tracey C Adams, LCPC

Title

Proprietor Office Manger

Phone

(708) 331-4101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1972676567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17076 S PARK AVE",
            "address_2": "17076 SOUTH PARK AVE SUITE L",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733349",
            "telephone_number": "708-331-4101",
            "fax_number": "708-331-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17076 S PARK AVE",
            "address_2": "17076 SOUTH PARK AVE SUITE L",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733349",
            "telephone_number": "708-331-4101",
            "fax_number": "708-331-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASIDI CONSULTING ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROPRIETOR OFFICE MANGER",
        "authorized_official_telephone_number": "708-331-4101",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in South Holland, IL
• Providers in South Holland, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.