Provider Demographics
NPI:1528074291
Name:NEW BEGINNINGS COUNSELING
Entity type:Organization
Organization Name:NEW BEGINNINGS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALTHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MA,NCC,LCPC
Authorized Official - Phone:815-385-6004
Mailing Address - Street 1:814 N MILL ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-5336
Mailing Address - Country:US
Mailing Address - Phone:815-385-6004
Mailing Address - Fax:815-385-6062
Practice Address - Street 1:814 N MILL ST
Practice Address - Street 2:UNIT 5
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-5336
Practice Address - Country:US
Practice Address - Phone:815-385-6004
Practice Address - Fax:815-385-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL05621650Medicare UPIN