Organization Active NPI

Arrowleaf

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vienna, IL
National Provider Identifier
1134879224
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ARROWLEAF
Practice address
300 Red Bud LN
Vienna, IL 62995-1792
Phone
(618) 658-3079
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ARROWLEAFAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Laura K Cowser
Title
Financial Director
Phone
(618) 652-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

300 Red Bud LN
Vienna, IL 62995-1792

Mailing address

PO Box 759
Golconda, IL 62938-0759
Phone (618) 683-2611

Other names 1

  • Family Counseling Center, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Arrowleaf24 organizations share this tax ID, including this one
Part of
Arrowleaf

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

300 Red Bud Ln
Vienna, IL 62995

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1134879224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "629380759",
            "telephone_number": "618-683-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RED BUD LN",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951792",
            "telephone_number": "618-658-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWLEAF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARROWLEAF",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "COWSER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "618-652-2046"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Counseling Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vienna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.