Healthcare Provider Details
I. General information
NPI: 1972314110
Provider Name (Legal Business Name): CARING HEARTS COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2025
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15724 S ROUTE 59 STE 106
PLAINFIELD IL
60544-2806
US
IV. Provider business mailing address
2412 RED OAK CT
PLAINFIELD IL
60586-2215
US
V. Phone/Fax
- Phone: 630-557-6057
- Fax: 708-991-7725
- Phone: 630-557-6057
- Fax: 708-991-7725
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 345923924001 |
| Identifier Type | MEDICAID |
| Identifier State | IL |
| Identifier Issuer | |
VIII. Authorized Official
Name: MS.
ABIGAIL
KEMPH
Title or Position: COUNSELOR
Credential: LCPC
Phone: 630-723-1006