Roberta Pool, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

204 N Main St
Morton, IL 61550-2026

Phone

(309) 320-8840

Fax

(309) 320-8808

NPI assigned

Nov 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Family Therapy of Illinois, PLLC

  • Professional Counselor
  • Morton, IL
  • NPI 1538784624
  NPD

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1669801171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502026",
            "telephone_number": "309-320-8840",
            "fax_number": "309-320-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "ROBERTA",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.iftil.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "204 N Main St",
            "city": "Morton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "615502026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Lynn Phelan, RPH
• Phillips Investments, LLC Morton MC Operations Series
• Camila Pierson, RDN, LDN
• Pauline K Pierson, MASSAGE THERAPIST
• Gail L Pollock, CCC-A
• Principle Anesthesia PLLC
• Proehl Medicine, PLLC
• Professional Therapy Services, Inc
• Professional Therapy Services, Inc.
• Ronald Lee Ranson, DDS

• Counselor in Morton, IL
• Providers in Morton, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.