Countermeasures, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A-1028-0001-A Issued in IL

Legal business name

COUNTERMEASURES, INC.

Practice address

110 N. Center
Bloomington, IL 61701-5002

Phone

(309) 827-0818

Fax

(309) 828-3764

NPI assigned

Sep 20, 2010

Last updated

Sep 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle M. Matury, M.H.S., C.A.D.C.

Title

Director

Phone

(309) 827-0818

Specialties & licenses 3

Addresses

Other names 1

• DUI Countermeasures Former legal business name

Tax ID family

Countermeasures Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Countermeasures Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pekin, IL
  • NPI 1770973067
  NPD tax ID
• Countermeasures, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Peoria, IL
  • NPI 1851787493
  NPD tax ID

Locations

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1528376985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N. CENTER",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015002",
            "telephone_number": "309-827-0818",
            "fax_number": "309-828-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N. CENTER",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015002",
            "telephone_number": "309-827-0818",
            "fax_number": "309-828-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTERMEASURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "MATURY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-827-0818",
        "authorized_official_credential": "M.H.S., C.A.D.C."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A-1028-0004-A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A-1028-0005-A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A-1028-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUI Countermeasures",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Justin Joseph Couch, NP-C
• Laura Coughlin
• John Francis Couillard, O.D.
• Phyllis Joan Coulter, FNP
• Counseling Resource Institute LLC
• County of McLean (McLean County FUSE Program)
• County of McLean
• Haley Marie Courtney, MS, CCC-SLP
• Jaime Cox
• Kylsea Cox

• Addiction (Substance Use Disorder) Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

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