Ap Therapeutic Practice LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AP THERAPEUTIC PRACTICE LLC

Practice address

16 Kas Villa Acres
Sullivan, IL 61951-9107

Phone

(601) 207-0774

NPI assigned

Jan 9, 2023

Last updated

Jun 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandria Poe, LCSWNPI 1629793260

Title

Owner

Phone

(601) 207-0774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Alexandria Elizabeth Poe, LCSW

  • Clinical Social Worker
  • Sullivan, IL
  • NPI 1629793260
  Medicare reassignment NPD Authorized official
• Kylie Tibbetts

  • Professional Counselor
  • Sullivan, IL
  • NPI 1225716541
  NPD

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1134833718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KAS VILLA ACRES",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619519107",
            "telephone_number": "601-207-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KAS VILLA ACRES",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619519107",
            "telephone_number": "601-207-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AP THERAPEUTIC PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-06-20",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-207-0774",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalom Aguirre, BS, MHP
• Tyler Jacob Alberson, PHARMD
• Janice Althoff, MS
• Penny Arlene Arthur
• Hollie Atchison
• Thomas C. Best, O.D.
• Erin Booker, MS, LPC
• Boyd Optometric Inc

• Clinical Social Worker in Sullivan, IL
• Providers in Sullivan, 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 Jun 20, 2025; 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.