Organization Active NPI

TLB Counseling LTD

  • Clinical Social Worker
  • Woodstock, IL
National Provider Identifier
1215392147
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016200 Issued in IL
Legal business name
TLB COUNSELING LTD
Practice address
134 Cass St
B
Woodstock, IL 60098-3208
Phone
(815) 322-6310
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Torrie Benson-PryorNPI 1649609348
Title
LCSW
Phone
(815) 322-6310

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 149016200 IL Primary

Addresses

Primary practice location

134 Cass St
B
Woodstock, IL 60098-3208

Mailing address

2113 Timberline TRL
Woodstock, IL 60098-8759

Other identifiers 1

IdentifierTypeStateIssuer
12617889OtherILCAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151229001914 IL Part B Supplier - Clinic/Group Practice 1456652932 Receives reassigned benefits from 1 practitioner
Practice locations: Woodstock, IL

National Provider Directory

National Provider Directory

Locations

134 Cass St
#B
Woodstock, IL 60098
Phone (815) 322-6310

202 E Calhoun St
Woodstock, IL 60098
Phone (815) 322-6310

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": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1215392147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 TIMBERLINE TRL",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600988759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CASS ST",
            "address_2": "B",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983208",
            "telephone_number": "815-322-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLB COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "BENSON-PRYOR",
        "authorized_official_first_name": "TORRIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "815-322-6310"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12617889",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.