New Heights Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012597 Issued in IL

Legal business name

NEW HEIGHTS COUNSELING LLC

Practice address

610 State Route 116
Metamora, IL 61548-7729

Phone

(309) 840-3885

NPI assigned

Oct 14, 2017

Organization subpart

No

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

Authorized official

Name

Jill Bradford, LCSW

Title

Owner, Sole Proprieter

Phone

(309) 840-3885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill S Roberts, LCSW

  • Clinical Social Worker
  • Metamora, IL
  • NPI 1013235779
  Medicare reassignment NPD

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507939200000",
    "number": "1093226201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STATE ROUTE 116",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615487729",
            "telephone_number": "309-840-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STATE ROUTE 116",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615487729",
            "telephone_number": "309-840-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HEIGHTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-14",
        "last_updated": "2017-10-14",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER, SOLE PROPRIETER",
        "authorized_official_telephone_number": "309-840-3885",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Oliver Martin
• Mended Hearts Stable
• Metamora CC SCH Dist 1
• Metamora Community Nursing Home
• Metamora TWP HS Dist 122
• Daniel Eric O'Brien, M.D.
• Megan Oetgen, LCPC
• Olive Branch Feeding Therapy PLLC
• Out and About Speech Therapy, PLLC
• Out and About Speech Therapy, PLLC

• Clinical Social Worker in Metamora, IL
• Providers in Metamora, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.