Robert C. Mitchell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROBERT C. MITCHELL

Doing business as

ASSOCIATED PSYCHOTHERAPISTS

Practice address

1220 S Park Ave
Suite D
Herrin, IL 62948-4177

Phone

(618) 988-1757

Fax

(618) 988-1700

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert C Mitchell, LCSW

Title

Owner-Director

Phone

(618) 988-1757

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• ASSOCIATED PSYCHOTHERAPISTS Doing business as

Locations

Practitioners 1

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

• Sheila R. Beltz, LCSW

  • Clinical Social Worker
  • Herrin, IL
  • NPI 1649344284
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1053387258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S PARK AVE",
            "address_2": "SUITE D",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484177",
            "telephone_number": "618-988-1757",
            "fax_number": "618-988-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S PARK AVE",
            "address_2": "SUITE D",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484177",
            "telephone_number": "618-988-1757",
            "fax_number": "618-988-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. MITCHELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "618-988-1757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "IGO10320",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1618888",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA EAP",
            "identifier": "5919746",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATED PSYCHOTHERAPISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Herrin, IL
• Providers in Herrin, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.