Organization Active NPI

Tap Resources Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Peoria, IL
National Provider Identifier
1194977264
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A13320001A Issued in IL
Legal business name
TAP RESOURCES INC.
Practice address
2390 W Nebraska Ave
Peoria, IL 61604-3111
Phone
(309) 676-8762
Fax
(309) 676-8782
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Martha J Allsup, M.A., CADC
Title
Director - Clinical Services
Phone
(309) 676-8762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X A13320001A IL Primary

Addresses

Primary practice location

2390 W Nebraska Ave
Peoria, IL 61604-3111

Mailing address

2390 W Nebraska Ave
Peoria, IL 61604-3111
Phone (309) 676-8762

National Provider Directory

National Provider Directory

Locations

2390 W Nebraska Ave
Peoria, IL 61604
Phone (309) 637-8071

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1194977264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 W NEBRASKA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043111",
            "telephone_number": "309-676-8762",
            "fax_number": "309-676-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W NEBRASKA AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043111",
            "telephone_number": "309-676-8762",
            "fax_number": "309-676-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAP RESOURCES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "ALLSUP",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR - CLINICAL SERVICES",
        "authorized_official_telephone_number": "309-676-8762",
        "authorized_official_credential": "M.A., CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A13320001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.