NPI Code Details Logo

NPI 1245106756

NPI 1245106756 : CLEVER FOX COUNSELING, PLLC : SUGAR GROVE, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1245106756
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CLEVER FOX COUNSELING, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/13/2025
-----------------------------------------------------
    Last Update Date     |    10/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    472 ROUTE 47 # F-118 
-----------------------------------------------------
    City                 |    SUGAR GROVE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60554-8107
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    630-542-7868
-----------------------------------------------------
    Fax                  |    630-542-7868
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    272 MEADOWS DR 
-----------------------------------------------------
    City                 |    SUGAR GROVE
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60554-5003
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    630-542-7868
-----------------------------------------------------
    Fax                  |    630-542-7868
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    THERAPIST
-----------------------------------------------------
    Name                 |     KRISTINE  GONYON 
-----------------------------------------------------
    Credential           |    LCPC
-----------------------------------------------------
    Telephone            |    630-542-7868
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.