Organization Active NPI

Integrity First Counseling

  • Marriage & Family Therapist
  • Bloomington, IL
National Provider Identifier
1336849306
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
INTEGRITY FIRST COUNSELING
Practice address
3101 Airport Rd
Bloomington, IL 61704-8465
Phone
(309) 846-5901
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Ken J Summers, LMFTNPI 1669140562
Title
Owner
Phone
(309) 846-5901

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3101 Airport Rd
Bloomington, IL 61704-8465

Mailing address

3101 Airport Rd
Bloomington, IL 61704-8465
Phone (309) 846-5901

Other names 1

  • Integrity First Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

3101 Airport Rd
Bloomington, IL 61704
Phone (308) 846-5901

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": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336849306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 AIRPORT RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048465",
            "telephone_number": "309-846-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 AIRPORT RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048465",
            "telephone_number": "309-846-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY FIRST COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-846-5901",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity First Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.