Penelope J Preston Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008861 Issued in IL

Legal business name

PENELOPE J PRESTON COUNSELING

Practice address

1161 Fortune Blvd Ste 400
O Fallon, IL 62269-7385

Phone

(618) 409-6062

NPI assigned

Jun 26, 2015

Last updated

Jul 9, 2015By 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

Penelope J Preston, M.A., L.C.P.C.

Title

Licensed Clinical Professional Coun

Phone

(618) 409-6062

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1629450580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 400",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697385",
            "telephone_number": "618-409-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 400",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697385",
            "telephone_number": "618-409-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENELOPE J PRESTON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "618-409-6062",
        "authorized_official_credential": "M.A., L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.