Active NPI
Lela Spiller-Copeland, MHP
- Mental Health Counselor
- Du Quoin, IL
National Provider Identifier
1104585553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1016 S Madison St
Du Quoin, IL 62832-2442 - Phone
- (618) 542-4357
- Fax
- (618) 542-3442
- NPI assigned
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1016 S Madison St
Du Quoin, IL 62832-2442
Mailing address
1016 S Madison St
Du Quoin, IL 62832-2442
Phone (618) 542-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S14652596840 | Other | IL | IL DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.perrycountycounselingcenter.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1104585553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 S MADISON ST",
"city": "DU QUOIN",
"state": "IL",
"postal_code": "628322442",
"telephone_number": "618-542-4357",
"fax_number": "618-542-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 S MADISON ST",
"city": "DU QUOIN",
"state": "IL",
"postal_code": "628322442",
"telephone_number": "618-542-4357",
"fax_number": "618-542-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLER-COPELAND",
"first_name": "LELA",
"credential": "MHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL DRIVER'S LICENSE",
"identifier": "S14652596840",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.perrycountycounselingcenter.com",
"affiliation": "N",
"endpointDescription": "agency website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "appointee's email address",
"address_1": "1016 S Madison St",
"city": "Du Quoin",
"state": "IL",
"country_code": "US",
"postal_code": "628322442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Du Quoin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.