Momentum for Life Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOMENTUM FOR LIFE COUNSELING

Practice address

1801 Woodfield Dr Ste 103
Savoy, IL 61874-9505

Phone

(217) 366-3417

Fax

(217) 954-9292

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By 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

Kelly-Jane Monahan, LCSWNPI 1831658517

Title

Owner

Phone

(818) 307-8656

Specialties & licenses 1

Addresses

Locations

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.

• Kelly-Jane Monahan, LCSW

  • Clinical Social Worker
  • Savoy, IL
  • NPI 1831658517
  NPD (past) Authorized official

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1538708920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WOODFIELD DR STE 103",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505",
            "telephone_number": "217-366-3417",
            "fax_number": "217-954-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WOODFIELD DR STE 103",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505",
            "telephone_number": "217-366-3417",
            "fax_number": "217-954-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM FOR LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "KELLY-JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-307-8656",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney McVey, LCSW
• Desiree Monic Medina
• Miebach Psychotherapy PLLC
• Thomas Miebach
• Molly Duran Counseling, PLLC
• Kelly-Jane Monahan, LCSW
• Danisha Moore, LSW
• Shannon Morgan
• Cymi Lynn Nappe, MSW
• Anthony Nichols, M.A. LCPC

• Clinical Social Worker in Savoy, IL
• Providers in Savoy, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.