Active NPI
Golden Rule Counseling, PLLC
- Clinical Social Worker
- Fairview Heights, IL
National Provider Identifier
1083072524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.017330
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- East Saint Louis, IL
- NPI 1457879157
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.