Provider Demographics
NPI:1285729384
Name:INSIGHTS PSYCHOTHERAPY, LTD.
Entity type:Organization
Organization Name:INSIGHTS PSYCHOTHERAPY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/REGISTERED PLAY THERAPIST-
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:TETEAK-BERG
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, NCC, CCTP
Authorized Official - Phone:630-677-1849
Mailing Address - Street 1:2244 95TH ST UNIT 218
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8033
Mailing Address - Country:US
Mailing Address - Phone:630-677-1849
Mailing Address - Fax:630-717-1165
Practice Address - Street 1:2244 95TH ST UNIT 218
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8033
Practice Address - Country:US
Practice Address - Phone:630-677-1849
Practice Address - Fax:630-717-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-000428101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL00022232187OtherBLUE CROSS BLUE SHIELD OF