Counseling Center of Southwestern Illinois Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

149007724 Issued in IL

Legal business name

COUNSELING CENTER OF SOUTHWESTERN ILLINOIS INC

Practice address

111 S State St
Freeburg, IL 62243-1439

Phone

(618) 578-6854

NPI assigned

Dec 2, 2015

Last updated

Dec 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. M Monica Lynch, LCSWNPI 1508236563

Title

Social Worker

Phone

(618) 578-6854

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• M Monica Lynch, LCSW

  • Clinical Social Worker
  • Freeburg, IL
  • NPI 1508236563
  NPD (past) Authorized official

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1477928380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S STATE ST",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431439",
            "telephone_number": "618-578-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S STATE ST",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431439",
            "telephone_number": "618-578-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER OF SOUTHWESTERN ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "618-578-6854",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "149007724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Birch, CCC-SLP
• Jennifer Cain
• Child First
• Community Living Options Inc (Freeburg Terrace)
• Complete Family Chiropractic & Wellness LLC
• Raymond Danford, RPH
• Tracey Lynn Drennen-Alexander, D.C.
• Anthony Duvergel
• Gayla Renea Fields, M.S., LCPC
• Freeburg Care Center Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Freeburg, IL
• Providers in Freeburg, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.