NPIMap

Organization Active NPI

Union County Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anna, IL
National Provider Identifier
1063709228
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UNION COUNTY COUNSELING SERVICES INC
Practice address
311 W Vienna St
Anna, IL 62906
Phone
(618) 833-8415
Fax
(618) 833-2911
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Danuta Del Rio, LCPC
Title
Executive Director
Phone
(618) 833-8551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

311 W Vienna St
Anna, IL 62906

Mailing address

PO Box 548
Anna, IL 62906-0548
Phone (618) 833-8551

Other identifiers 1

IdentifierTypeStateIssuer
04142MedicaidIL

Other names 2

  • CSR Cottage Other name
  • CSR-Cottage Other name

National Provider Directory

National Provider Directory
Tax ID family
CSR Cottage4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1063709228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629060548",
            "telephone_number": "618-833-8551",
            "fax_number": "618-833-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W VIENNA ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "62906",
            "telephone_number": "618-833-8415",
            "fax_number": "618-833-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "DEL RIO",
        "authorized_official_first_name": "DANUTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-833-8551",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04142",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSR Cottage",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CSR-Cottage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.