Little Fern Therapy, PLLC

Key facts

NPI

1003704081

Entity type

Organization (NPI type 2)

Primary specialty

Adolescent and Children Mental Health Clinic/Center 261QM0855X

Legal business name

LITTLE FERN THERAPY, PLLC

Practice address

1400 N Wood Rd Ste 22
Murphysboro, IL 62966-6290

Phone

(618) 924-1623

NPI assigned

Jun 26, 2025

Organization subpart

No

Authorized official

Name

Tali Kasser, PSYCHOLOGIST NPI 1144944661

Title

Sole Member

Phone

(618) 924-1623

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tali Kasser, NCSP, LCP Clinical Psychologist · Murphysboro, IL · NPI 1144944661
  NPD Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2025.

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1003704081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 S SURREY LN",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012110",
            "telephone_number": "618-924-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WOOD RD STE 22",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629666290",
            "telephone_number": "618-924-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FERN THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "KASSER",
        "authorized_official_first_name": "TALI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "618-924-1623",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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