Organization Active NPI

Options Eap

  • Clinical Social Worker
  • Princeton, IL
National Provider Identifier
1073680765
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006773 Issued in IL
Legal business name
OPTIONS EAP
Practice address
300 Backbone Road E
Suite 3
Princeton, IL 61356-2073
Phone
(815) 879-0327
Fax
(815) 875-1720
NPI assigned
Nov 29, 2006
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Mrs. Terryann Dumyahn, L.C.S.W.
Title
Executive Director
Phone
(815) 879-0327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149006773 IL Primary

Addresses

Primary practice location

300 Backbone Road E
Suite 3
Princeton, IL 61356-2073

Mailing address

PO Box 116
Princeton, IL 61356-0116
Phone (815) 879-0327

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1073680765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613560116",
            "telephone_number": "815-879-0327",
            "fax_number": "815-875-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BACKBONE ROAD E",
            "address_2": "SUITE 3",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562073",
            "telephone_number": "815-879-0327",
            "fax_number": "815-875-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS EAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "DUMYAHN",
        "authorized_official_first_name": "TERRYANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-879-0327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

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