Active NPI
Beth Vogel Integrative Psychotherapy & Mental Wellness PLLC
- Clinical Social Worker
- Bloomington, IL
National Provider Identifier
1407765241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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.