NPIMap

Organization Active NPI

Union County Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anna, IL
National Provider Identifier
1508153768
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UNION COUNTY COUNSELING SERVICES INC
Practice address
202 South St
Anna, IL 62906
Phone
(618) 833-8551
Fax
(618) 833-2911
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Danuta Del Rio, LCPC
Title
Executive Director
Phone
(618) 833-8551

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

202 South St
Anna, IL 62906

Mailing address

PO Box 548
Anna, IL 62906-0548
Phone (618) 833-8551

Other identifiers 1

IdentifierTypeStateIssuer
036090683MedicaidIL

Other names 2

  • Manion Bldg Other name
  • Manion Building Other name

National Provider Directory

National Provider Directory
Tax ID family
CSR Cottage4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

202 South St
Anna, IL 62906
Phone (618) 833-8551

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1508153768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629060548",
            "telephone_number": "618-833-8551",
            "fax_number": "618-833-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SOUTH ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "62906",
            "telephone_number": "618-833-8551",
            "fax_number": "618-833-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "DEL RIO",
        "authorized_official_first_name": "DANUTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-833-8551",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090683",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manion Bldg",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Manion Building",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.