Organization Active NPI

Authentically You Counseling Services PLLC

  • Counselor
  • Collinsville, IL
National Provider Identifier
1083492904
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
AUTHENTICALLY YOU COUNSELING SERVICES PLLC
Practice address
226 S Morrison Ave
Collinsville, IL 62234-2711
Phone
(314) 452-8600
NPI assigned
Sep 20, 2023
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Leah E Crask-Ellis, LCPCNPI 1710311808
Title
Owner/Counselor
Phone
(314) 452-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

226 S Morrison Ave
Collinsville, IL 62234-2711

Mailing address

226 S Morrison Ave
Collinsville, IL 62234-2711
Phone (314) 452-8600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1083492904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S MORRISON AVE",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342711",
            "telephone_number": "314-452-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S MORRISON AVE",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342711",
            "telephone_number": "314-452-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTICALLY YOU COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "CRASK-ELLIS",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "314-452-8600",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.