Organization Active NPI

Golden Rule Counseling, PLLC

  • Clinical Social Worker
  • Fairview Heights, IL
National Provider Identifier
1083072524
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017330 Issued in IL
Legal business name
GOLDEN RULE COUNSELING, PLLC
Practice address
10314 Lincoln TRL Ste 106
Fairview Heights, IL 62208-1801
Phone
(618) 875-9355
Fax
(630) 425-8900
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mr. Chester A Carothers Jr., L.C.S.W
Title
Sole Member
Phone
(618) 875-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.017330 IL Primary

Addresses

Primary practice location

10314 Lincoln TRL Ste 106
Fairview Heights, IL 62208-1801

Mailing address

PO Box 6152
East Saint Louis, IL 62202-6152
Phone (618) 875-9355

Other names 1

  • Golden Rule Counseling, LLC Other name

National Provider Directory

National Provider Directory

Locations

1435 Market Ave
East Saint Louis, IL 62201
Phone (618) 875-9355

10314 Lincoln Trl
Ste 106
Fairview Heights, IL 62208
Phone (618) 875-9355

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": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1083072524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6152",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622026152",
            "telephone_number": "618-875-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10314 LINCOLN TRL STE 106",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081801",
            "telephone_number": "618-875-9355",
            "fax_number": "630-425-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RULE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "CAROTHERS",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "618-875-9355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Rule Counseling, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.