Prairieland Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRAIRIELAND COUNSELING

Practice address

6035 N Knoxville Ave Ste 204B
Peoria, IL 61614-3504

Phone

(309) 704-4664

NPI assigned

Mar 21, 2022

Last updated

Jul 6, 2022By 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

Hannah Spencer, LCPCNPI 1902217839

Title

Owner

Phone

(309) 704-4664

Specialties & licenses 2

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.

• Hannah Spencer, MA, LPC

  • Mental Health Counselor
  • Peoria, IL
  • NPI 1902217839
  NPD Authorized official

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1588313225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 N KNOXVILLE AVE STE 204B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143504",
            "telephone_number": "309-704-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 N KNOXVILLE AVE STE 204B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143504",
            "telephone_number": "309-704-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIELAND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-704-4664",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Potts
• Kayla Powell, NCC
• Divyang Pradhan, MBBS
• Prairie Spine and Pain Institute SC
• Prairie Surgicare, LLC
• Matthew Michael Preston, M.D.
• Chiara Pretto
• Ashley Lynne Pribble, DNP
• Caitlin Marie Pribble
• Derek P Price, PT

• Mental Health Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.