Organization Active NPI

Centerpoint Counseling Associates LLC

  • Mental Health Counselor
  • Peoria, IL
National Provider Identifier
1427674902
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENTERPOINT COUNSELING ASSOCIATES LLC
Practice address
7820 N University St Ste 102B
Peoria, IL 61614-1220
Phone
(309) 324-3030
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Heidi Van HeuklonNPI 1790278257
Title
Owner
Phone
(309) 324-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7820 N University St Ste 102B
Peoria, IL 61614-1220

Mailing address

7820 N University St Ste 102B
Peoria, IL 61614-1220
Phone (309) 324-3030

National Provider Directory

National Provider Directory

Locations

7820 N University St
Ste 102B
Peoria, IL 61614
Phone (309) 324-3030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1427674902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 N UNIVERSITY ST STE 102B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141220",
            "telephone_number": "309-324-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 N UNIVERSITY ST STE 102B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141220",
            "telephone_number": "309-324-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINT COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "VAN HEUKLON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-324-3030"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.