Organization Active NPI

Elevated Heights Counseling

  • Professional Counselor
  • Swansea, IL
National Provider Identifier
1093578510
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ELEVATED HEIGHTS COUNSELING
Practice address
28 Bronze Pointe N Ste B
Swansea, IL 62226-1191
Phone
(618) 235-3857
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Tiffany J EvansNPI 1730409228
Title
Clinical Director
Phone
(618) 235-3857

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

28 Bronze Pointe N Ste B
Swansea, IL 62226-1191

Mailing address

301 Americana Cir
Fairview Heights, IL 62208-3687
Phone (618) 530-4558

National Provider Directory

National Provider Directory

Locations

28 Bronze Pointe N
Ste B
Swansea, IL 62226
Phone (618) 235-3857

Practitioners & affiliated clinicians

Practitioners 3

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": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1093578510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 AMERICANA CIR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083687",
            "telephone_number": "618-530-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BRONZE POINTE N STE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261191",
            "telephone_number": "618-235-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEIGHTS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "618-235-3857"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.