Organization Active NPI

Twin Image Counseling Service PLLC

Doing business as Twin Image Counseling Service

  • Mental Health Counselor
  • Freeport, IL
National Provider Identifier
1508681552
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TWIN IMAGE COUNSELING SERVICE PLLC
Doing business as
Twin Image Counseling Service
Practice address
524 W Stephenson St Ste 205
Freeport, IL 61032-5057
Phone
(815) 990-1103
Fax
(815) 990-1103
NPI assigned
Nov 15, 2024
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Lamont Hail, LCPCNPI 1598272882
Title
Owner
Phone
(815) 990-1103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

524 W Stephenson St Ste 205
Freeport, IL 61032-5057

Mailing address

414 1/2 N Van Buren Ave
Freeport, IL 61032-3233
Phone (815) 990-1103

Other names 1

  • Twin Image Counseling Service Doing business as

National Provider Directory

National Provider Directory

Locations

524 W Stephenson St
Ste 205
Freeport, IL 61032
Phone (815) 990-1103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1508681552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 1/2 N VAN BUREN AVE",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610323233",
            "telephone_number": "815-990-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W STEPHENSON ST STE 205",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325057",
            "telephone_number": "815-990-1103",
            "fax_number": "815-990-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN IMAGE COUNSELING SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "HAIL",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-990-1103",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Image Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Twin Image Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.