Individual provider Active NPI

Ian Caleb Cox, LCPC

  • Counselor
  • Springfield, IL
National Provider Identifier
1144900796
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.015423 Issued in IL
Practice address
2200 S 6TH St
Springfield, IL 62703-3454
Phone
(217) 698-7150
NPI assigned
Jul 19, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.015423 IL Primary

Addresses

Primary practice location

2200 S 6TH St
Springfield, IL 62703-3454

Mailing address

2200 S 6TH St
Springfield, IL 62703-3454
Phone (217) 698-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906002401 IL Practitioner - Mental Health Counselor 6002356961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlinville Area Hospital AssociationGroup PAC ID 9032021373, shared by 6 NPIs, 25 clinicians

Practice addresses (Care Compare)

1611 N Springfield St
Virden, IL 62690-9781
Phone (217) 854-3819

20613 N Broad St
Suite B
Carlinville, IL 62626-3721
Phone (217) 854-3881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.015423ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carlinville Area Hospital Association Current Accepting new patients
Carlinville Area Hospital Association CurrentSince Aug 15, 2024 Accepting new patients
Living Hope Counseling Center CurrentSince Jul 23, 2023 Accepting new patients
Carlinville Area Hospital Association CurrentSince Aug 15, 2024 Accepting new patients

Locations

20613 N Broad St
Ste B
Carlinville, IL 62626
Phone (217) 854-3881

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

807 Broadway St
Gillespie, IL 62033
Phone (217) 839-3900

205 S 3rd St
Girard, IL 62640
Phone (217) 627-2141

2200 S 6th St
Springfield, IL 62703
Phone (217) 698-7150

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1144900796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627033454",
            "telephone_number": "217-698-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627033454",
            "telephone_number": "217-698-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "IAN",
        "middle_name": "CALEB",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.015423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.