Organization Active NPI

Ravensong Counseling Services LLC

  • Counselor
  • Belleville, IL
National Provider Identifier
1497926695
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
RAVENSONG COUNSELING SERVICES LLC
Practice address
2900 South Frank Scott Parkway West
Suite 956 a
Belleville, IL 62223-0044
Phone
(618) 616-1097
Fax
(618) 398-4095
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
D William Goodell
Title
Social Worker
Phone
(618) 616-1097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IL Primary

Addresses

Primary practice location

2900 South Frank Scott Parkway West
Suite 956 a
Belleville, IL 62223-0044

Mailing address

2900 South Frank Scott Parkway West
Suite 956 a
Belleville, IL 62223-0044
Phone (618) 616-1097

National Provider Directory

National Provider Directory

Locations

2900 Frank Scott Pkwy W
Ste 956A
Belleville, IL 62223
Phone (618) 624-5796

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1497926695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SOUTH FRANK SCOTT PARKWAY WEST",
            "address_2": "SUITE 956 A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622230044",
            "telephone_number": "618-616-1097",
            "fax_number": "618-398-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SOUTH FRANK SCOTT PARKWAY WEST",
            "address_2": "SUITE 956 A",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622230044",
            "telephone_number": "618-616-1097",
            "fax_number": "618-398-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENSONG COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "GOODELL",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "618-616-1097"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.