Organization Active NPI

Best Life Counseling Services LLC

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1386295236
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEST LIFE COUNSELING SERVICES LLC
Practice address
917 Clock Tower Dr Ste 600
Springfield, IL 62704-6037
Phone
(217) 764-8150
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Melanie JesseNPI 1922551316
Title
Owner
Phone
(217) 883-0708

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

917 Clock Tower Dr Ste 600
Springfield, IL 62704-6037

Mailing address

917 Clock Tower Dr Ste 600
Springfield, IL 62704-6037
Phone (217) 764-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191212000999 IL Part B Supplier - Clinic/Group Practice 3476986035 Receives reassigned benefits from 3 practitioners
Practice locations: Springfield, IL

National Provider Directory

National Provider Directory

Locations

917 Clock Tower Dr
Ste 600
Springfield, IL 62704
Phone (217) 764-8150

Practitioners & affiliated clinicians

Practitioners 3

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": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1386295236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 CLOCK TOWER DR STE 600",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046037",
            "telephone_number": "217-764-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 CLOCK TOWER DR STE 600",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046037",
            "telephone_number": "217-764-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LIFE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "JESSE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-883-0708"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.