Mosaic Counseling & Consulting, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MOSAIC COUNSELING & CONSULTING, LLC

Practice address

7366 N Lincoln Ave Ste 406
Lincolnwood, IL 60712-1741

Phone

(773) 307-4767

Fax

(847) 673-4721

NPI assigned

Sep 18, 2020

Organization subpart

No

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

Authorized official

Name

Jose Rodrigo Nino, MA, LCPCNPI 1780648493

Title

Owner

Phone

(773) 307-4767

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Jose Rodrigo Nino, M.A., LCPC

  • Professional Counselor
  • Lincolnwood, IL
  • NPI 1780648493
  NPD Authorized official

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1992311542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 MADISON PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021928",
            "telephone_number": "773-307-4767",
            "fax_number": "847-673-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE STE 406",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121741",
            "telephone_number": "773-307-4767",
            "fax_number": "847-673-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "NINO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RODRIGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-307-4767",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://joserninolcpc.secure-client-area.com/portal/index/default/",
            "affiliation": "N",
            "address_1": "7366 N Lincoln Ave Ste 406",
            "city": "Lincolnwood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607121741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.