Park Ridge Counseling Llc
LBN: Park Ridge Counseling Llc
Park Ridge Counseling Llc is an health care organization with primary practice located at 350 S. Northwest Highway Suite 300, Park Ridge IL 60068. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Park Ridge Counseling Llc can be contacted via phone (847) 722-5967, or through Thompson, Tara Gidney via phone (847) 722-5967.
Contact Information
Primary practice address
350 S. Northwest Highway Suite 300
Park Ridge IL 60068
Phone: (847) 722-5967
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071007131 | Illinois |
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | 071.007131 | Illinois |
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | 071.007131 | Illinois |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 071.007131 | Illinois |
| Managed Care Organizations / Point of Service | 305S00000X | 071.007131 | Illinois |
Profile Details
| NPI number | 1558536094 |
|---|---|
| LBN Legal business name | Park Ridge Counseling Llc |
| DBA Doing business as | |
| Authorized official | Thompson, Tara Gidney PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Sep 24th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558536094 | NPPES |
| Illinois | MEDICAID | 208217065 | |
| Illinois | MEDICAID | 261553352 |
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