Organization Active NPI

Essential Clinical Counseling Services, LLC

  • Mental Health Counselor
  • Springfield, IL
National Provider Identifier
1043789654
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ESSENTIAL CLINICAL COUNSELING SERVICES, LLC
Practice address
2141 W White Oaks Dr Ste B
Springfield, IL 62704-7414
Phone
(217) 201-1736
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Essence LeeNPI 1205301660
Title
Owner
Phone
(217) 201-1736

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2141 W White Oaks Dr Ste B
Springfield, IL 62704-7414

Mailing address

2141 W White Oaks Dr Ste B
Springfield, IL 62704-7414

National Provider Directory

National Provider Directory

Locations

2141 W White Oaks Dr
Ste B
Springfield, IL 62704
Phone (217) 201-1736

Practitioners & affiliated clinicians

Practitioners 1

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": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1043789654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 W WHITE OAKS DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 W WHITE OAKS DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047414",
            "telephone_number": "217-201-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL CLINICAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ESSENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-201-1736"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.