Organization Active NPI

Dui Solutions & Treatment Alternatives, Inc.

  • Clinical Social Worker
  • Bloomington, IL
National Provider Identifier
1124250402
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.002048 Issued in IL
Legal business name
DUI SOLUTIONS & TREATMENT ALTERNATIVES, INC.
Practice address
207 West Jefferson Street
Suite 501
Bloomington, IL 61701
Phone
(309) 828-1988
Fax
(309) 828-6540
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Mr. Richard W. Mast, CADC, NCAC II, CCJS
Title
Clinical Director/Owner
Phone
(309) 828-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149.002048 IL Primary

Addresses

Primary practice location

207 West Jefferson Street
Suite 501
Bloomington, IL 61701

Mailing address

207 W Jefferson St
Suite 501
Bloomington, IL 61701-3960
Phone (309) 828-1988

Other identifiers 3

IdentifierTypeStateIssuer
104100000XOtherILINSURANCE
106H00000XOtherILINSURANCE
101Y00000XOtherILINSURANCE

Other names 1

  • Ascent Counseling & DUI Services Doing business as

National Provider Directory

National Provider Directory

Locations

207 W Jefferson St
Ste 501
Bloomington, IL 61701
Phone (309) 828-1988

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1124250402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W JEFFERSON ST",
            "address_2": "SUITE 501",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013960",
            "telephone_number": "309-828-1988",
            "fax_number": "309-828-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WEST JEFFERSON STREET",
            "address_2": "SUITE 501",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61701",
            "telephone_number": "309-828-1988",
            "fax_number": "309-828-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUI SOLUTIONS & TREATMENT ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "309-828-1988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC, NCAC II, CCJS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.002048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "104100000X",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "106H00000X",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "101Y00000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascent Counseling & DUI Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.