Organization Active NPI

Seasons Counseling

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1205514106
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEASONS COUNSELING
Practice address
206 N Randolph St Ste 412
Champaign, IL 61820-3978
Phone
(217) 303-5780
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Erica Aina, LCSWNPI 1356894687
Title
Owner
Phone
(217) 521-6676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

206 N Randolph St Ste 412
Champaign, IL 61820-3978

Mailing address

206 N Randolph St Ste 412
Champaign, IL 61820-3978
Phone (217) 303-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118002843 IL Part B Supplier - Clinic/Group Practice 3971094897 Receives reassigned benefits from 1 practitioner
Practice locations: Champaign, IL

National Provider Directory

National Provider Directory

Locations

206 N Randolph St
Ste 412
Champaign, IL 61820
Phone (217) 303-5780

5130 Hickory Point Frontage Rd
Ste 219
Decatur, IL 62526
Phone (217) 358-4548

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1205514106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 412",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203978",
            "telephone_number": "217-303-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 412",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203978",
            "telephone_number": "217-303-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "AINA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-521-6676",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.