Organization Active NPI

Professional Supportive Solution Therapy

  • Community/Behavioral Health Agency
  • Belleville, IL
National Provider Identifier
1295107563
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
178.011045 Issued in IL
Legal business name
PROFESSIONAL SUPPORTIVE SOLUTION THERAPY
Practice address
6400 W Main St
Belleville, IL 62223-3806
Phone
(314) 786-2870
NPI assigned
Oct 27, 2015
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mrs. April Dawn Jones, LPCNPI 1427457019
Title
Owner
Phone
(618) 581-3751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 178.011045 IL Primary

Addresses

Primary practice location

6400 W Main St
Belleville, IL 62223-3806

Mailing address

6400 W Main St
Belleville, IL 62223-3806
Phone (314) 786-2870

National Provider Directory

National Provider Directory

Locations

6400 W Main St
Belleville, IL 62223
Phone (314) 786-2870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1295107563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233806",
            "telephone_number": "314-786-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233806",
            "telephone_number": "314-786-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SUPPORTIVE SOLUTION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-581-3751",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "178.011045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.