Organization Active NPI

Caim Counseling, LLC

  • Professional Counselor
  • Peoria Heights, IL
National Provider Identifier
1326519356
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CAIM COUNSELING, LLC
Practice address
4700 N Prospect Rd Ste A2C
Peoria Heights, IL 61616-6473
Phone
(309) 648-6549
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Mary Elizabeth Cunningham, MA, LCPCNPI 1629563937
Title
Owner
Phone
(309) 648-6549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4700 N Prospect Rd Ste A2C
Peoria Heights, IL 61616-6473

Mailing address

4700 N Prospect Rd Ste A2C
Peoria Heights, IL 61616-6473
Phone (309) 648-6549

National Provider Directory

National Provider Directory

Locations

4700 N Prospect Rd
Ste A2C
Peoria Heights, IL 61616
Phone (309) 648-6549

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1326519356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N PROSPECT RD STE A2C",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166473",
            "telephone_number": "309-648-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N PROSPECT RD STE A2C",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166473",
            "telephone_number": "309-648-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAIM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-648-6549",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.