Active NPI
Tap Resources Inc.
- Addiction (Substance Use Disorder) Counselor
- Peoria, IL
National Provider Identifier
1194977264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A13320001A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryLocations
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.