Organization Active NPI

Kaloupek Counseling, LLC

  • Clinical Social Worker
  • Decatur, IL
National Provider Identifier
1669012753
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KALOUPEK COUNSELING, LLC
Practice address
106 N Main St
Decatur, IL 62523-1207
Phone
(217) 330-6282
Fax
(217) 481-8701
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Heather Michelle Kaloupek, LCSWNPI 1558695692
Title
Owner
Phone
(217) 330-6282

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

106 N Main St
Decatur, IL 62523-1207

Mailing address

106 N Main St
Decatur, IL 62523-1207
Phone (217) 330-6282

Other names 1

  • Renewed Hope Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://kaloupekcounselingllc.com Direct

National Provider Directory

National Provider Directory

Locations

140 S Water St
Ste 100
Decatur, IL 62523

Practitioners & affiliated clinicians

Practitioners 1

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": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1669012753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231207",
            "telephone_number": "217-330-6282",
            "fax_number": "217-481-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231207",
            "telephone_number": "217-330-6282",
            "fax_number": "217-481-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALOUPEK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "KALOUPEK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-330-6282",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://kaloupekcounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 S Water St Ste 100",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625231324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Renewed Hope Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.