CM Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149011980 Issued in IL

Legal business name

CM COUNSELING SERVICES, LLC

Practice address

14517 N Elmore Rd
Elmwood, IL 61529-9325

Phone

(309) 255-2167

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Cristina Lynn Mugrage, LCSW

Title

Owner

Phone

(309) 255-2167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1619286598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14517 N ELMORE RD",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299325",
            "telephone_number": "309-255-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14517 N ELMORE RD",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299325",
            "telephone_number": "309-255-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CM COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "MUGRAGE",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-255-2167",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149011980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.