Earth Water Air Counseling, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EARTH WATER AIR COUNSELING, LLC

Practice address

1161 Fortune Blvd Ste 200
Shiloh, IL 62269-7385

Phone

(618) 777-6670

Fax

(877) 811-5628

NPI assigned

Aug 16, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Scarlett Maria Meyer, LCPC

Title

Owner/Counselor

Phone

(217) 242-7451

Specialties & licenses 1

Addresses

Practitioners 1

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

• Scarlett Maria Schulz, LCPC, NCC

  • Professional Counselor
  • Quincy, IL
  • NPI 1376079871
  NPD

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1194336784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 200",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697385",
            "telephone_number": "618-777-6670",
            "fax_number": "877-811-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 200",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697385",
            "telephone_number": "618-777-6670",
            "fax_number": "877-811-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH WATER AIR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "SCARLETT",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "217-242-7451",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Dominick, DO
• Amy Lynn Dossett, PT
• Deryl Wayne Drum, DDS
• Bertram E Drury, M.D.
• Julia Dungan, MA, CCC, SLP
• Erynn Elizabeth Elleby, M.D.
• Kristi Lyn Emmons, PHARM.D.
• Empowerme Rehabilitation Il Agency, LLC
• Empowerme Rehabilitation Illinois, LLC
• English and McLaughlin, P.C.

• All providers in Shiloh, IL
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.