NPIMap

Organization Active NPI

Personal Counseling Services

  • Substance Abuse Rehabilitation Facility
  • Springfield, IL
National Provider Identifier
1518085638
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A35150001A Issued in IL
Legal business name
PERSONAL COUNSELING SERVICES
Practice address
2659 Farragut Dr
Springfield, IL 62704-1459
Phone
(217) 726-7273
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Ms. Vicki L Vandeveer, MA LMFT LCPC CADCNPI 1508997875
Title
Owner Counselor
Phone
(217) 726-7273

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
Substance Abuse Rehabilitation Facility 324500000X A35150001A IL Primary

Addresses

Primary practice location

2659 Farragut Dr
Springfield, IL 62704-1459

Mailing address

2659 Farragut Dr
Springfield, IL 62704-1459
Phone (217) 726-7273

National Provider Directory

National Provider Directory

Locations

2659 Farragut Dr
Springfield, IL 62704
Phone (217) 726-7273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1518085638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 FARRAGUT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041459",
            "telephone_number": "217-726-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 FARRAGUT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041459",
            "telephone_number": "217-726-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "VANDEVEER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER COUNSELOR",
        "authorized_official_telephone_number": "217-726-7273",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LMFT LCPC CADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A35150001A",
            "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 Apr 20, 2010; 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.