Ann L Chan Counseling Services, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ANN L CHAN COUNSELING SERVICES, PC

Practice address

206 N Randolph St Ste 420
Champaign, IL 61820-3978

Phone

(217) 390-2917

Fax

(217) 355-1866

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Ann L. Chan, MEDUC,MSW

Title

Owner

Phone

(217) 390-2917

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1255648697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 S ANDERSON ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618016711",
            "telephone_number": "217-390-2917",
            "fax_number": "217-355-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 420",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203978",
            "telephone_number": "217-390-2917",
            "fax_number": "217-355-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN L CHAN COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-390-2917",
        "authorized_official_credential": "MEDUC,MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.