NPIMap

Organization Active NPI

Table Talk

  • Community/Behavioral Health Agency
  • Danville, IL
National Provider Identifier
1033666839
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180006014 Issued in IL
Legal business name
TABLE TALK
Practice address
47 S Crawford St
Danville, IL 61832-6416
Phone
(770) 990-6420
Fax
(217) 274-7202
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Mrs. Margie Lene Dash, M.S.NPI 1629280409
Title
Clinical Counselor/Proprietor
Phone
(770) 990-6420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180006014 IL Primary

Addresses

Primary practice location

47 S Crawford St
Danville, IL 61832-6416

Mailing address

47 S Crawford St
Danville, IL 61832-6416
Phone (770) 990-6420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1033666839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 S CRAWFORD ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618326416",
            "telephone_number": "770-990-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 S CRAWFORD ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618326416",
            "telephone_number": "770-990-6420",
            "fax_number": "217-274-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLE TALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "DASH",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "LENE",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR/PROPRIETOR",
        "authorized_official_telephone_number": "770-990-6420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180006014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.