Healthcare Provider Details

I. General information

NPI: 1881528693
Provider Name (Legal Business Name): INTENT COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 POINT BLVD STE 335
ELGIN IL
60123-7824
US

IV. Provider business mailing address

2250 POINT BLVD STE 335
ELGIN IL
60123-7824
US

V. Phone/Fax

Practice location:
  • Phone: 847-220-4868
  • Fax:
Mailing address:
  • Phone: 847-220-4868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. NICOLA BELLANTUONO
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LCPC
Phone: 847-220-4868