Healthcare Provider Details

I. General information

NPI: 1932251766
Provider Name (Legal Business Name): FAMILIES AND ADOLESCENTS IN RECOVERY P.C. F.A.I.R. COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 WALDEN OFFICE SQ STE 450
SCHAUMBURG IL
60173-4292
US

IV. Provider business mailing address

1834 WALDEN OFFICE SQ STE 450
SCHAUMBURG IL
60173-4292
US

V. Phone/Fax

Practice location:
  • Phone: 847-359-5192
  • Fax: 847-701-0350
Mailing address:
  • Phone: 847-359-5192
  • Fax: 847-701-0350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MARTA MAGDALENA MCGUINNESS
Title or Position: PRESIDENT / SECRETARY
Credential: LCPC
Phone: 847-359-5192