Organization Active NPI

Success Motivators, LLC

  • Clinical Social Worker
  • Columbia, IL
National Provider Identifier
1205928942
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011846 Issued in IL
Legal business name
SUCCESS MOTIVATORS, LLC
Doing business as
WOMENS WELLNESS AND FAMILY COUNSELING
Practice address
276 Southwoods Ctr
Suite a
Columbia, IL 62236-2462
Phone
(618) 281-9355
Fax
(618) 281-4641
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Lori A Grabe, LCSWNPI 1295757672
Title
Owner
Phone
(618) 281-9355

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 149011846 IL Primary

Addresses

Primary practice location

276 Southwoods Ctr
Suite a
Columbia, IL 62236-2462

Mailing address

276 Southwoods Ctr
Suite a
Columbia, IL 62236-2462
Phone (618) 281-9355

Other names 1

  • WOMENS WELLNESS AND FAMILY COUNSELING Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061108000012 IL Part B Supplier - Clinic/Group Practice 6406853399 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, IL

National Provider Directory

National Provider Directory

Locations

276 Southwoods Ctr
#A
Columbia, IL 62236
Phone (314) 550-3195

107 N Main St
Ste 2A
Columbia, IL 62236
Phone (618) 281-9355

Practitioners & affiliated clinicians

Practitioners 3

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1205928942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 SOUTHWOODS CTR",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362462",
            "telephone_number": "618-281-9355",
            "fax_number": "618-281-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 SOUTHWOODS CTR",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362462",
            "telephone_number": "618-281-9355",
            "fax_number": "618-281-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS MOTIVATORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "GRABE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-281-9355",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMENS WELLNESS AND FAMILY COUNSELING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.