Active NPI
Julie Enkelmann Smirl, PHD, LCPC
- Professional Counselor
- O Fallon, IL
National Provider Identifier
1457556672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180005731
- Practice address
- 785 Wall St Ste 200
O Fallon, IL 62269-1959 - Phone
- (618) 367-2194
- Fax
- (618) 726-2024
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180005731 | IL | Primary |
Addresses
Primary practice location
785 Wall St Ste 200
O Fallon, IL 62269-1959
Mailing address
181 W Belleville St
Nashville, IL 62263-1446
Phone (618) 314-4894
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180005731 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Counseling Services PLLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- O Fallon, IL
- NPI 1033682489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457556672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 W BELLEVILLE ST",
"city": "NASHVILLE",
"state": "IL",
"postal_code": "622631446",
"telephone_number": "618-314-4894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 WALL ST STE 200",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691959",
"telephone_number": "618-367-2194",
"fax_number": "618-726-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIRL",
"first_name": "JULIE",
"middle_name": "ENKELMANN",
"name_prefix": "Dr.",
"credential": "PHD, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180005731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.