The Therapy Space PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE THERAPY SPACE PLLC

Practice address

503 E Vandalia St
Edwardsville, IL 62025-1893

Phone

(217) 273-1849

NPI assigned

Mar 10, 2026

Organization subpart

No

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

Authorized official

Name

Jordan Boyer Walters, LCSWNPI 1467046052

Title

Owner/Therapist

Phone

(217) 273-1849

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.

• Jordan Boyer Walters

  • Clinical Social Worker
  • Edwardsville, IL
  • NPI 1467046052
  NPD Authorized official

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1578419685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 DRYSDALE CT",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253217",
            "telephone_number": "217-273-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E VANDALIA ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251893",
            "telephone_number": "217-273-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY SPACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "BOYER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "217-273-1849",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklynn H Taylor, RBT
• Stacey M Thacker, PHARM D
• David M Thayer, DC
• The Board of Trustees of Siu Governing Siue
• The Four L'S Inc
• The Thrive Speech Collective LLC
• Nicole Theiss, MA
• Therapedics
• Jessica R Therien, APRN, FNP-C
• Elijah Bradley Thiel

• Mental Health Clinic/Center (Including Community Mental Health Center) in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.