Living Hope Counseling Center, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006947 Issued in IL

Legal business name

LIVING HOPE COUNSELING CENTER, PC

Practice address

535 Maine St
Suite 13
Quincy, IL 62301-3950

Phone

(217) 228-1887

Fax

(217) 228-1884

NPI assigned

Feb 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cara Rae Bainum, PSY.D.

Title

President & Owner

Phone

(217) 228-1887

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1013044478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MAINE ST",
            "address_2": "SUITE 13",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013950",
            "telephone_number": "217-228-1887",
            "fax_number": "217-228-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MAINE ST",
            "address_2": "SUITE 13",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013950",
            "telephone_number": "217-228-1887",
            "fax_number": "217-228-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE COUNSELING CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BAINUM",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "217-228-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2006016141",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1427042076",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491638904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Lindsey
• Brook Audra Linenfelser, LCSW
• Erin Elizabeth Little, FNP-C
• Harold E Little, PT
• Jason Mitchell Little, AGAC-NP
• Richard B Livingston, RPH
• David W. Lockhart, M.D.
• Mary J Logsdon, NP-C
• Emery Joy Lomelino, PHARMD
• Cecelia A Long, OT

• All providers in Quincy, IL
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.