Midwest Clinical Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIDWEST CLINICAL COUNSELING

Practice address

915 S Grand Ave W
Springfield, IL 62704-3642

Phone

(217) 726-8744

Fax

(877) 721-7028

NPI assigned

Jan 28, 2011

Last updated

Jan 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Keir GoatleyNPI 1235435967

Title

Director

Phone

(217) 726-8744

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, and the practitioner matching its NPPES authorized official.

• Keir Lon Goatley, M.A.

  • Mental Health Counselor
  • Springfield, IL
  • NPI 1235435967
  NPD (past) Authorized official

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1336445030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043642",
            "telephone_number": "217-726-8744",
            "fax_number": "877-721-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043642",
            "telephone_number": "217-726-8744",
            "fax_number": "877-721-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CLINICAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "GOATLEY",
        "authorized_official_first_name": "KEIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-726-8744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay William Lewis Michels, D.O.
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• Bethany Middleton, DMD, MS
• John Zachary Middleton, DMD
• Midwest Dialectical Behavior Therapy, LLC (d/b/a Midwest Dialectical Behavior Therapy, PLLC)
• Midwest Emergency Department Specialists LTD
• Midwest Eye Associates, LLC
• Midwest Eye Associates, LLC
• Midwest Forensic Vocational Rehabilitation and Life Care Planning Cons

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.