NPIMap

Organization Active NPI

Catalyst Counseling Center LLC

  • Mental Health Counselor
  • Champaign, IL
National Provider Identifier
1033770243
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CATALYST COUNSELING CENTER LLC
Practice address
2104 Windsor PL Ste a
Champaign, IL 61820-7773
Phone
(217) 552-1058
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Rebecca HarrisonNPI 1114418456
Title
Owner
Phone
(217) 552-1058

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2104 Windsor PL Ste a
Champaign, IL 61820-7773

Mailing address

2104 Windsor PL Ste a
Champaign, IL 61820-7773
Phone (217) 552-1058

Other names 1

  • C3 Doing business as

National Provider Directory

National Provider Directory

Locations

2104 Windsor Pl
Ste A
Champaign, IL 61820
Phone (217) 552-1058

411 N Clarendon Ct
Savoy, IL 61874
Phone (217) 522-1058

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1033770243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 WINDSOR PL STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207773",
            "telephone_number": "217-552-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 WINDSOR PL STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207773",
            "telephone_number": "217-552-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-552-1058"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "C3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.