Carolyn K Company, MA, MSED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.015447 Issued in IL

Practice address

205 N Williamsburg Dr Ste a&B
Bloomington, IL 61704-7706

Phone

(217) 430-6020

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Good Company Counseling and Coaching, PLLC

  • Mental Health Counselor
  • Bloomington, IL
  • NPI 1235913518

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1285224600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N WILLIAMSBURG DR STE A&B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047706",
            "telephone_number": "217-430-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N WILLIAMSBURG DR STE A&B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047706",
            "telephone_number": "217-430-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPANY",
        "first_name": "CAROLYN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MA, MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.016665",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Collins, APN, CNM
• Nichelle Collins
• Susan Collins, APRN
• Edward Leslie Colloton, MD
• Kimberly Colwell
• Compass Counselors LTD.
• Compass Counselors LTD.
• Renell Frances Composto
• Brian Compton, MD
• Violeta Cone

• Professional Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.