NPIMap

Organization Active NPI

Kellerstrass Counseling LTD

Doing business as Syndeo Counseling

  • Professional Counselor
  • Morton, IL
National Provider Identifier
1558929133
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KELLERSTRASS COUNSELING LTD
Doing business as
Syndeo Counseling
Practice address
320 E Jackson St
Morton, IL 61550-1616
Phone
(309) 321-8762
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Mrs. Sandra Kay Kellerstrass, LCPC
Title
Owner/Therapist
Phone
(309) 678-5713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

320 E Jackson St
Morton, IL 61550-1616

Mailing address

320 E Jackson St
Morton, IL 61550-1616
Phone (309) 321-8762

Other names 1

  • Syndeo Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

320 E Jackson St
Morton, IL 61550
Phone (309) 263-2021

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1558929133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E JACKSON ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501616",
            "telephone_number": "309-321-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E JACKSON ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501616",
            "telephone_number": "309-321-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLERSTRASS COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "KELLERSTRASS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "309-678-5713",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syndeo Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.