NPIMap

Organization Active NPI

Counseling & Family Services

  • Community/Behavioral Health Agency
  • Peoria, IL
National Provider Identifier
1396876140
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180-003685 Issued in IL
Legal business name
COUNSELING & FAMILY SERVICES
Practice address
330 SW Washington St
Peoria, IL 61602-1417
Phone
(309) 676-2400
NPI assigned
Mar 7, 2007
Last updated
Sep 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Ann R Lading-Ferguson
Title
Ceo
Phone
(309) 676-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 180-003685 IL
Community/Behavioral Health Agency 251S00000X 180-003685 IL Primary

Addresses

Primary practice location

330 SW Washington St
Peoria, IL 61602-1417

Mailing address

330 SW Washington St
Peoria, IL 61602-1406
Phone (309) 676-2400

Other identifiers 1

IdentifierTypeStateIssuer
180-003685MedicaidIL

National Provider Directory

National Provider Directory

Locations

330 SW Washington St
Peoria, IL 61602
Phone (309) 676-2400

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1396876140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW WASHINGTON ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021406",
            "telephone_number": "309-676-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW WASHINGTON ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021417",
            "telephone_number": "309-676-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "LADING-FERGUSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-676-2400"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180-003685",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180-003685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180-003685",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.