NPIMap

Organization Active NPI

Lori Bushell Counseling LLC

  • Mental Health Counselor
  • Peoria, IL
National Provider Identifier
1407359367
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LORI BUSHELL COUNSELING LLC
Practice address
2000 W Pioneer Pkwy Ste 20
Peoria, IL 61615-5805
Phone
(309) 231-6180
NPI assigned
Mar 16, 2018
Last updated
Mar 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Lori Bushell, LCPCNPI 1205869005
Title
LCPC
Phone
(309) 231-6180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2000 W Pioneer Pkwy Ste 20
Peoria, IL 61615-5805

Mailing address

2000 W Pioneer Pkwy Ste 20
Peoria, IL 61615-5805
Phone (309) 231-6180

National Provider Directory

National Provider Directory

Locations

2000 W Pioneer Pkwy
Ste 20
Peoria, IL 61615
Phone (309) 648-9939

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1407359367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 20",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616155805",
            "telephone_number": "309-231-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 20",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616155805",
            "telephone_number": "309-231-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI BUSHELL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "BUSHELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "309-231-6180",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 16, 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.