Individual provider Active NPI

Arnold Victor Pilmonas

  • Professional Counselor
  • New Lenox, IL
National Provider Identifier
1992090526
Registry record updated Jun 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007127 Issued in IL
Practice address
336 W Maple St
Unit # 4
New Lenox, IL 60451-2907
Phone
(815) 463-1234
Fax
(815) 463-8420
NPI assigned
Jun 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12026 IL
Professional Counselor 101YP2500X 180.007127 IL Primary

Addresses

Primary practice location

336 W Maple St
Unit # 4
New Lenox, IL 60451-2907

Mailing address

336 W Maple St
Unit # 4
New Lenox, IL 60451-2907
Phone (815) 463-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12026ILMDAddiction (Substance Use Disorder) Counselor
180.007127ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307750400000",
    "number": "1992090526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W MAPLE ST",
            "address_2": "UNIT # 4",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512907",
            "telephone_number": "815-463-1234",
            "fax_number": "815-463-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W MAPLE ST",
            "address_2": "UNIT # 4",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512907",
            "telephone_number": "815-463-1234",
            "fax_number": "815-463-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILMONAS",
        "first_name": "ARNOLD",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-11",
        "last_updated": "2011-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "12026",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2011; 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.