Organization Active NPI

Gottrich Counseling and Consulting Services PC

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1508296559
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.004119 Issued in IL
Legal business name
GOTTRICH COUNSELING AND CONSULTING SERVICES PC
Practice address
975 S Durkin Dr
Suite 202
Springfield, IL 62704-1386
Phone
(217) 726-9882
Fax
(217) 726-9862
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Mrs. Kay A Gottrich, MA, LCPC
Title
President/Therapist
Phone
(217) 726-9882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.004119 IL Primary

Addresses

Primary practice location

975 S Durkin Dr
Suite 202
Springfield, IL 62704-1386

Mailing address

975 S Durkin Dr
Suite 202
Springfield, IL 62704-1386
Phone (217) 726-9882

National Provider Directory

National Provider Directory

Locations

975 S Durkin Dr
Ste 202
Springfield, IL 62704
Phone (217) 712-4089

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1508296559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 S DURKIN DR",
            "address_2": "SUITE 202",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041386",
            "telephone_number": "217-726-9882",
            "fax_number": "217-726-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S DURKIN DR",
            "address_2": "SUITE 202",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041386",
            "telephone_number": "217-726-9882",
            "fax_number": "217-726-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTTRICH COUNSELING AND CONSULTING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "GOTTRICH",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "217-726-9882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.004119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.