{"npi":"1730810318","type":"NPI-2","status":"active","name":{"display":"Collaborative Counseling Group Of Illinois PLLC","other":[],"organization_name":"COLLABORATIVE COUNSELING GROUP OF ILLINOIS PLLC","authorised_official":"Damien Jackson"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"201 MAPLEWOOD AVE","city":"MUNDELEIN","state":"IL","postal_code":"600604129","country_code":"US","phone":"8478075622"},{"purpose":"MAILING","street_1":"1 N OPLAINE RD UNIT 114","city":"GURNEE","state":"IL","postal_code":"600310804","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-06-23","last_updated":"2022-06-23","_meta":{"source":"NPPES","snapshot_date":"2022-06-23","doc_url":"https://findmynpi.com/api"}}