NPIMap

Organization Active NPI

Sos Crisis Intervention, LLC

  • Mental Health Counselor
  • O Fallon, IL
National Provider Identifier
1215447610
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180011222 Issued in IL
Legal business name
SOS CRISIS INTERVENTION, LLC
Practice address
901 Terrace CT
O Fallon, IL 62269-3437
Phone
(618) 335-2938
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Shannon Franco, LCPC
Title
President
Phone
(618) 335-2938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180011222 IL Primary

Addresses

Primary practice location

901 Terrace CT
O Fallon, IL 62269-3437

Mailing address

4020 Green Mount Crossing Dr # 325
Shiloh, IL 62269-7287
Phone (618) 335-2938

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1215447610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 GREEN MOUNT CROSSING DR # 325",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697287",
            "telephone_number": "618-335-2938",
            "fax_number": "618-551-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TERRACE CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693437",
            "telephone_number": "618-335-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOS CRISIS INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-335-2938",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.