Active NPI
Gottrich Counseling and Consulting Services PC
- Professional Counselor
- Springfield, IL
National Provider Identifier
1508296559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.004119
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.