NPIMap

Organization Active NPI

Carle Clinic Resolutions Eap

  • Mental Health Counselor
  • Urbana, IL
National Provider Identifier
1508088303
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CARLE CLINIC RESOLUTIONS EAP
Practice address
204 W University Ave
Urbana, IL 61801-1741
Phone
(217) 383-3202
Fax
(217) 328-3581
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Betsy Epling, CEAP
Title
Program Manager
Phone
(217) 383-3202

Specialties & licenses 1

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

Addresses

Primary practice location

204 W University Ave
Urbana, IL 61801-1741

Mailing address

204 W University Ave
Urbana, IL 61801-1741
Phone (217) 383-3202

National Provider Directory

National Provider Directory
Tax ID family
Carle Clinic Association PC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508088303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W UNIVERSITY AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011741",
            "telephone_number": "217-383-3202",
            "fax_number": "217-328-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W UNIVERSITY AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011741",
            "telephone_number": "217-383-3202",
            "fax_number": "217-328-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE CLINIC RESOLUTIONS EAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPLING",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "217-383-3202",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEAP"
    },
    "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 Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.