Active NPI
Options Eap
- Clinical Social Worker
- Princeton, IL
National Provider Identifier
1073680765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149006773
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryNPI 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
- North Central Behavioral Health Systems, Inc.
- North Central Behavioral Health Systems, Inc.
- Northland Hearing Centers, Inc. (Hammers Hearing Care Center)
- Heidi Amanda Olsen
- One Ten Counseling Services, LLC
- Deofil Luzod Orteza, M.D.
- Osf Healthcare System (OSF Saint Clare Medical Center)
- Osf Healthcare System (OSF HealthCare - Prompt Care)
- Osf Healthcare System (Osf Healthcare - Medical Group - Princeton)
- Osf Healthcare System (OSF HealthCare - Community Health)
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.