=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932251766
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAMILIES AND ADOLESCENTS IN RECOVERY, PC DBA F.A.I.R COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2007
-----------------------------------------------------
Last Update Date | 10/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1834 WALDEN OFFICE SQ STE 450
-----------------------------------------------------
City | SCHAUMBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60173-4292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-359-5192
-----------------------------------------------------
Fax | 847-701-0350
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1834 WALDEN OFFICE SQ STE 450
-----------------------------------------------------
City | SCHAUMBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60173-4292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-359-5192
-----------------------------------------------------
Fax | 847-701-0350
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSSINES OWNER / COUNSELOR
-----------------------------------------------------
Name | MRS. MARTA MAGDALENA MCGUINNESS
-----------------------------------------------------
Credential | LCPC, CADC
-----------------------------------------------------
Telephone | 847-359-5192
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 273R00000X
-----------------------------------------------------
Taxonomy Name | Psychiatric Hospital Unit
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 276400000X
-----------------------------------------------------
Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
-----------------------------------------------------
License Number | A-4341-0002-A
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------