NPIMap

Organization Active NPI

Salus Counseling LLC

  • Mental Health Counselor
  • Bloomington, IL
National Provider Identifier
1639677156
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.101585 Issued in IL
Legal business name
SALUS COUNSELING LLC
Practice address
2103 E Washington St Ste 4B
Bloomington, IL 61701-4362
Phone
(217) 871-3001
Fax
(866) 226-2435
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Ashley Morris, MANPI 1376930024
Title
LCPC
Phone
(309) 822-2261

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180.101585 IL Primary

Addresses

Primary practice location

2103 E Washington St Ste 4B
Bloomington, IL 61701-4362

Mailing address

2103 E Washington St Ste 4B
Bloomington, IL 61701-4362
Phone (309) 822-2261

Other identifiers 1

IdentifierTypeStateIssuer
1376930024MedicaidIL

Other names 1

  • Reynolds Counseling & Associates LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2103 E Washington St
Ste 4B
Bloomington, IL 61701
Phone (217) 871-3001

Practitioners & affiliated clinicians

Practitioners 9

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1639677156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST STE 4B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014362",
            "telephone_number": "309-822-2261",
            "fax_number": "866-226-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST STE 4B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014362",
            "telephone_number": "217-871-3001",
            "fax_number": "866-226-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "309-822-2261",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.101585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376930024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reynolds Counseling & Associates LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.