Organization Active NPI

Nomura Counseling & Consulting, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1982075305
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016072 Issued in IL
Legal business name
NOMURA COUNSELING & CONSULTING, LLC
Practice address
918 N Damen Ave
Chicago, IL 60622-7588
Phone
(773) 405-2862
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Mio Nomura, LCSW
Title
Owner
Phone
(773) 405-2862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149016072 IL Primary

Addresses

Primary practice location

918 N Damen Ave
Chicago, IL 60622-7588

Mailing address

4853 N Ashland Ave
Chicago, IL 60640-3412
Phone (773) 405-2862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1982075305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403412",
            "telephone_number": "773-405-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227588",
            "telephone_number": "773-405-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMURA COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "NOMURA",
        "authorized_official_first_name": "MIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-405-2862",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.