Active NPI
Sophia Garland, BA
- Addiction (Substance Use Disorder) Counselor
- Normal, IL
National Provider Identifier
1417656141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 303 Landmark Dr Ste 2B
Normal, IL 61761-6164 - Phone
- (309) 808-2388
- Fax
- (309) 808-2668
- NPI assigned
- Mar 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
303 Landmark Dr Ste 2B
Normal, IL 61761-6164
Mailing address
303 Landmark Dr Ste 2B
Normal, IL 61761-6164
Phone (309) 808-2388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington-Normal Treatment Center, LLC | Current | Accepting new patients |
Locations
303 Landmark Dr
Ste 2B
Normal, IL 61761
Phone (309) 808-2388
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Normal, IL
- NPI 1225389638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1417656141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 LANDMARK DR STE 2B",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616164",
"telephone_number": "309-808-2388",
"fax_number": "309-808-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 LANDMARK DR STE 2B",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616164",
"telephone_number": "309-808-2388",
"fax_number": "309-808-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "SOPHIA",
"name_prefix": "Ms.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.