Active NPI
Chelse Carr, LCPC
- Mental Health Counselor
- Washington, IL
National Provider Identifier
1417675885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180016566
- Practice address
- 1003 N Cummings LN
Washington, IL 61571-9646 - Phone
- (309) 444-1000
- NPI assigned
- Aug 22, 2022
- Last updated
- Nov 15, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178018282 | IL | |
| Mental Health Counselor | 101YM0800X | 180016566 | IL | Primary |
| Professional Counselor | 101YP2500X | 178018282 | IL |
Addresses
Primary practice location
1003 N Cummings LN
Washington, IL 61571-9646
Mailing address
1003 N Cummings LN
Washington, IL 61571-9646
Phone (309) 444-1000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180016566 | IL | MD | Mental Health Counselor |
| 178018282 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Counseling and Wellness | Professional | Current | Accepting new patients |
Locations
1003 N Cummings Ln
Washington, IL 61571
Phone (309) 444-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1417675885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 N CUMMINGS LN",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719646",
"telephone_number": "309-444-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 N CUMMINGS LN",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719646",
"telephone_number": "309-444-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "CHELSE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178018282",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180016566",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178018282",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Scott Carlson
- Kelsey James Carreras-Simons, DDS
- Central Columbia Grade SCH 51
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- Chapters Washington Opco LLC (Chapters Living of Washington)
- Heidi Michelle Charron, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.