Prairie Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003930 Issued in IL

Legal business name

PRAIRIE COUNSELING SERVICES

Practice address

2422 E Washington St
Suite 109
Bloomington, IL 61704-4478

Phone

(309) 830-4553

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Hamilton, M.S. LCPCNPI 1972547388

Title

Owner

Phone

(309) 830-4553

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Hamilton, M.S. LCPC

  • Counselor
  • Normal, IL
  • NPI 1972547388
  NPD Authorized official

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1326430299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 KREITZER AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015637",
            "telephone_number": "309-830-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 E WASHINGTON ST",
            "address_2": "SUITE 109",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044478",
            "telephone_number": "309-830-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-830-4553",
        "authorized_official_credential": "M.S. LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Douglas Portis, LCPC CADC
• Matthew William Porzel, LCPC
• Jeffrey Scott Poulter, M.D.
• April Liane Powell
• Leann Michelle (Croft) Powell, PT, MSPT
• Prairie Dental Associates, P.C.
• Prairie Dermatology, PLLC
• Premier Medical Group, LLC
• Premier Medical Group, LLC
• Premier Medical Group, LLC

• 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 Mar 2, 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.