Healthcare Provider Details

I. General information

NPI: 1467556571
Provider Name (Legal Business Name): HUMAN SERVICES CONSULTING GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W 5TH AVE SUITE 205 I
NAPERVILLE IL
60563
US

IV. Provider business mailing address

800 W 5TH AVE STE 205A
NAPERVILLE IL
60563-4992
US

V. Phone/Fax

Practice location:
  • Phone: 630-779-0751
  • Fax: 630-753-0942
Mailing address:
  • Phone: 630-779-0751
  • Fax: 630-753-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 10
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180005925
License Number StateIL

VIII. Authorized Official

Name: MR. JAMES D M SMITHERS
Title or Position: PRESIDENT
Credential: MA LCPC
Phone: 630-779-0751