Blue Ocean Counseling & Coaching, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012997 Issued in IL

Legal business name

BLUE OCEAN COUNSELING & COACHING, LLC

Practice address

3030 W Marquette St
Peoria, IL 61605-1211

Phone

(309) 573-5818

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Alyssa Latonia Rodgers, M.S., M.A., NCC, LPC

Title

Counselor/Owner/Exec. Dir.

Phone

(309) 573-5818

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1417482274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 W CLAREDDA CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152720",
            "telephone_number": "309-573-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W MARQUETTE ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616051211",
            "telephone_number": "309-573-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OCEAN COUNSELING & COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "LATONIA",
        "authorized_official_title_or_position": "COUNSELOR/OWNER/EXEC. DIR.",
        "authorized_official_telephone_number": "309-573-5818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., M.A., NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012997",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Blaschuk
• Charity Bledsoe
• Brandon Bernard Bleess, MD
• Allison Paige Blicharz, PA-S
• Rachel E Blodgett, APN
• Gregory M. Blume
• William Major Blundell, LCPC
• Monica C Blunier, P.T
• Board of Trustees of the University of Illinois
• Bernard Asirifi Boateng, PHARMD

• Professional Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.