Vitality Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009982 Issued in IL

Legal business name

VITALITY COUNSELING

Practice address

1192 E Algonquin Rd
Algonquin, IL 60102-3084

Phone

(847) 713-3993

Fax

(847) 713-3993

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Amanda J Berge, LCPCNPI 1487025862

Title

Owner/Counselor

Phone

(847) 713-3993

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Berge, LCPC

  • Professional Counselor
  • Barrington, IL
  • NPI 1487025862

  Professional

  NPD (past) Authorized official
• Lisa Bohn, LCSW

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1235626912
  NPD (past)

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1972962272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PARK AVE",
            "address_2": "LL4",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104370",
            "telephone_number": "847-713-3993",
            "fax_number": "847-713-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 E ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023084",
            "telephone_number": "847-713-3993",
            "fax_number": "847-713-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "BERGE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "847-713-3993",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Valiga
• Allie N Van Dril, DPT
• Rocio Vargas, CPNP-PC
• Vigeo Care Center PLLC
• Vitaliscare Clinic LLC
• Wal-Mart Stores, Inc
• Tomasz Wala, PT
• Walgreen Co
• Walgreen Co
• Walgreen Co.

• Professional Counselor in Algonquin, IL
• Providers in Algonquin, 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 13, 2016; 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.