Organization Active NPI

Beth Vogel Integrative Psychotherapy & Mental Wellness PLLC

  • Clinical Social Worker
  • Bloomington, IL
National Provider Identifier
1407765241
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BETH VOGEL INTEGRATIVE PSYCHOTHERAPY & MENTAL WELLNESS PLLC
Practice address
2810 Degarmo Dr
Bloomington, IL 61704-9101
Phone
(309) 310-6465
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Mrs. Beth Anne Vogel, LCSW
Title
Owner/Managing Member
Phone
(309) 310-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2810 Degarmo Dr
Bloomington, IL 61704-9101

Mailing address

2810 Degarmo Dr
Bloomington, IL 61704-9101
Phone (309) 310-6465

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1407765241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 DEGARMO DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049101",
            "telephone_number": "309-310-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 DEGARMO DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049101",
            "telephone_number": "309-310-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH VOGEL INTEGRATIVE PSYCHOTHERAPY & MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "309-310-6465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "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 Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.