Organization Active NPI

Lottie Brogan Counseling Services

  • Community/Behavioral Health Agency
  • Monticello, IL
National Provider Identifier
1053787598
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180009734 Issued in IL
Legal business name
LOTTIE BROGAN COUNSELING SERVICES
Practice address
102 E Lafayette St
Monticello, IL 61856-1954
Phone
(217) 369-3075
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Amanda Sheppard, LCPCNPI 1235443862
Title
Therapist/Sole Owner
Phone
(217) 369-3075

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
Community/Behavioral Health Agency 251S00000X 180009734 IL Primary

Addresses

Primary practice location

102 E Lafayette St
Monticello, IL 61856-1954

Mailing address

102 E Lafayette St
Monticello, IL 61856-1954
Phone (217) 369-3075

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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1053787598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E LAFAYETTE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561954",
            "telephone_number": "217-369-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LAFAYETTE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561954",
            "telephone_number": "217-369-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTTIE BROGAN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "THERAPIST/SOLE OWNER",
        "authorized_official_telephone_number": "217-369-3075",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180009734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.