NPIMap

Organization Active NPI

Center for Emotional Wellness of the Northwest Suburbs

  • Clinical Social Worker
  • Johnsburg, IL
National Provider Identifier
1972972891
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015482 Issued in IL
Legal business name
CENTER FOR EMOTIONAL WELLNESS OF THE NORTHWEST SUBURBS
Practice address
4010 Hillcrest PL
Johnsburg, IL 60051-5928
Phone
(815) 342-9786
NPI assigned
Sep 21, 2015
Last updated
Sep 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

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

Authorized official

Name
Kathleen A Berger, LCSW
Title
Director
Phone
(815) 342-9786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180009906 IL
Clinical Social Worker 1041C0700X 149.015482 IL Primary

Addresses

Primary practice location

4010 Hillcrest PL
Johnsburg, IL 60051-5928

Mailing address

4010 Hillcrest PL
Johnsburg, IL 60051-5928
Phone (815) 342-9786

National Provider Directory

National Provider Directory

Locations

3265 N Arlington Heights Rd
Ste 301
Arlington Heights, IL 60004
Phone (815) 526-3440

Practitioners & affiliated clinicians

Practitioners 10

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": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443312000000",
    "number": "1972972891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 HILLCREST PL",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600515928",
            "telephone_number": "815-342-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 HILLCREST PL",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600515928",
            "telephone_number": "815-342-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EMOTIONAL WELLNESS OF THE NORTHWEST SUBURBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-27",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-342-9786",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009906",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnsburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2015; 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.