Organization Active NPI

Behavioral Health Advantages, Inc.

  • Counselor
  • Peoria, IL
National Provider Identifier
1649248113
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BEHAVIORAL HEALTH ADVANTAGES, INC.
Practice address
7210 N. Villa Lake Dr.
Suite D
Peoria, IL 61614-8235
Phone
(309) 589-1011
Fax
(309) 589-1019
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Ms. Nancy Affolter
Title
V.P., Coo
Phone
(309) 589-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

7210 N. Villa Lake Dr.
Suite D
Peoria, IL 61614-8235

Mailing address

7210 N. Villa Lake Dr.
Suite D
Peoria, IL 61614-8235
Phone (309) 589-1011

National Provider Directory

National Provider Directory

Locations

2422 W Altorfer Dr
Peoria, IL 61615
Phone (309) 589-1011

3400 W New Leaf Ln
Peoria, IL 61615
Phone (309) 589-1011

7210 N Villa Lake Dr
Ste D
Peoria, IL 61614
Phone (309) 589-1011

Practitioners & affiliated clinicians

Practitioners 4

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": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1649248113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 N. VILLA LAKE DR.",
            "address_2": "SUITE D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148235",
            "telephone_number": "309-589-1011",
            "fax_number": "309-589-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N. VILLA LAKE DR.",
            "address_2": "SUITE D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148235",
            "telephone_number": "309-589-1011",
            "fax_number": "309-589-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH ADVANTAGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "AFFOLTER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "V.P., COO",
        "authorized_official_telephone_number": "309-589-1011",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.