Cole Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COLE COUNSELING, PLLC

Practice address

103 N 11TH Ave Ste 114
Saint Charles, IL 60174-2291

Phone

(309) 453-9083

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Sherri Goodman

Title

Billing Manager

Phone

(847) 496-0345

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Donna Lee Cole, LCSW, LISW

  • Clinical Social Worker
  • Aurora, IL
  • NPI 1114215480
  Medicare reassignment NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1639894603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N 11TH AVE STE 114",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742291",
            "telephone_number": "309-453-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 11TH AVE STE 114",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742291",
            "telephone_number": "309-453-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "847-496-0345"
    },
    "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": []
}

• Kameron Nicole Cluchey, MSW, LCSW
• Erin Joan Cluts, MSW, LCSW
• Ann Cobb, PTA
• Cognitive Behavioral Care Incorporated
• Monica Tyanne Colamatteo, PTA
• Jessica L Colon, RDN, LDN
• Community Therapy Corp (Community Therapy Services)
• Community Therapy Services
• Community Therapy Services
• Community Unit School District 303

• Mental Health Clinic/Center (Including Community Mental Health Center) in St Charles, IL
• Providers in St Charles, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.