Organization Active NPI

Vine Counseling Company

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, IL
National Provider Identifier
1598653115
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VINE COUNSELING COMPANY
Practice address
909 Maine St
Quincy, IL 62301-4036
Phone
(217) 336-7792
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Mrs. Jessica Ellefritz, LCSWNPI 1821696311
Title
Counseling Director
Phone
(217) 773-2728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

909 Maine St
Quincy, IL 62301-4036

Mailing address

909 Maine St
Quincy, IL 62301-4036
Phone (217) 336-7792

National Provider Directory

National Provider Directory

Locations

909 Maine St
Quincy, IL 62301
Phone (217) 336-7792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1598653115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014036",
            "telephone_number": "217-336-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014036",
            "telephone_number": "217-336-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE COUNSELING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "ELLEFRITZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "COUNSELING DIRECTOR",
        "authorized_official_telephone_number": "217-773-2728",
        "authorized_official_name_prefix": "Mrs.",
        "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": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.