Clinical Counseling Group & Dui Providers, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLINICAL COUNSELING GROUP & DUI PROVIDERS, LLC

Practice address

701 S Durkin Dr
Suite B
Springfield, IL 62704-6029

Phone

(217) 726-7575

Fax

(217) 726-7577

NPI assigned

Jul 20, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Jo Crawford

Title

Cfo

Phone

(217) 725-0039

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Lee Forbes, LCPC

  • Professional Counselor
  • Springfield, IL
  • NPI 1235474180
  NPD (past)
• Leanna J. Tomlin-Lange, MA, LCPC, CADC

  • Professional Counselor
  • Springfield, IL
  • NPI 1215253075
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1124316468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S DURKIN DR",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046029",
            "telephone_number": "217-726-7575",
            "fax_number": "217-726-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S DURKIN DR",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046029",
            "telephone_number": "217-726-7575",
            "fax_number": "217-726-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL COUNSELING GROUP & DUI PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "217-725-0039",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria J Clemons, RBT
• Erin Elizabeth Cleveland, LCSW
• Matthew Cleveland, MD
• Catherine Clevenger, LCSW
• Lauren Clevenger, LPC
• Clinical Counseling, LTD
• Clinical Pathologists of Central Illinois, S.C.
• Clinical Radiologists, S.C.
• Clinical Radiologists, S.C.
• Clinical Radiologists, S.C.

• Community/Behavioral Health Agency in Springfield, IL
• Providers in Springfield, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.