PARK RIDGE COUNSELING LLC NPI 1558536094

NPI Information

  • NPI: 1558536094
  • Provider Name: PARK RIDGE COUNSELING LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 350 S. NORTHWEST HIGHWAY
    SUITE 300
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 722-5967

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NPI Details

PARK RIDGE COUNSELING LLC is a clinical psychologist in Park Ridge, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PARK RIDGE COUNSELING LLC NPI is 1558536094. The provider is registered as an organization entity type.

The provider's business location address is:

350 S. NORTHWEST HIGHWAY
SUITE 300
PARK RIDGE, IL
ZIP 60068
Phone: (847) 722-5967

The provider's authorized official is Tara Gidney Thompson .
The authorized official title is Partner/owner and has the following contact phone number (847) 722-5967.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 9/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302F00000XExclusive Provider Organization071.007131ILLINOISNo
2302R00000XHealth Maintenance Organization071.007131ILLINOISNo
3305R00000XPreferred Provider Organization071.007131ILLINOISNo
4305S00000XPoint of Service071.007131ILLINOISNo
5103TC0700XPsychologistClinical071007131ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1208217065MEDICAIDILLINOIS
2261553352MEDICAIDILLINOIS
3=========MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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