NPIMap

Organization Active NPI

White County Community Counseling Services LLC

  • Mental Health Counselor
  • Monticello, IN
National Provider Identifier
1467890293
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002487A Issued in IN
Legal business name
WHITE COUNTY COMMUNITY COUNSELING SERVICES LLC
Practice address
126 S Main St
Monticello, IN 47960
Phone
(574) 583-8055
NPI assigned
Jun 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Mr. Richard Charles Russell, LMHCNPI 1922245133
Title
Director
Phone
(574) 583-8055

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 39002487A IN Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 39002487A IN

Addresses

Primary practice location

126 S Main St
Monticello, IN 47960

Mailing address

126 S Main St
Monticello, IN 47960
Phone (574) 583-8055

National Provider Directory

National Provider Directory

Locations

126 S Main St
Monticello, IN 47960
Phone (574) 583-8055

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": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1467890293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "47960",
            "telephone_number": "574-583-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "47960",
            "telephone_number": "574-583-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY COMMUNITY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "574-583-8055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002487A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39002487A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.