One Counseling and Wellness

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000750 Issued in IL

Legal business name

ONE COUNSELING AND WELLNESS

Practice address

1003 North Cummings Lane
Washington, IL 61571

Phone

(309) 258-8838

NPI assigned

Mar 1, 2012

Organization subpart

No

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

Authorized official

Name

Jori Sparry, LMFT

Title

Manager

Phone

(309) 258-8838

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1184998692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615710534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 NORTH CUMMINGS LANE",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "61571",
            "telephone_number": "309-258-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "SPARRY",
        "authorized_official_first_name": "JORI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-258-8838",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.003547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010726",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Washington, IL
• Providers in Washington, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.