Integrity Counseling, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTEGRITY COUNSELING, INC.

Practice address

502 S Morris Ave Unit D
Bloomington, IL 61701-4891

Phone

(309) 827-9100

Fax

(309) 839-4458

NPI assigned

Sep 13, 2020

Organization subpart

No

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

Authorized official

Name

Donald James Mahannah

Title

Treasurer

Phone

(309) 827-9100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1235744533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MORRIS AVE UNIT D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014891",
            "telephone_number": "309-827-9100",
            "fax_number": "309-839-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MORRIS AVE UNIT D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014891",
            "telephone_number": "309-827-9100",
            "fax_number": "309-839-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A",
        "authorized_official_last_name": "MAHANNAH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "309-827-9100"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.