South Liberty Counseling

Primary specialty

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

Legal business name

SOUTH LIBERTY COUNSELING

Practice address

134 S Liberty St Ste 2
Rushville, IL 62681-1420

Phone

(808) 286-8955

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald Labog Carreon, LMFTNPI 1295086734

Title

Licensed MFT

Phone

(808) 286-8955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald L Carreon, LMFT

  • Marriage & Family Therapist
  • Macomb, IL
  • NPI 1295086734
  NPD Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1679224075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "PRAIRIE CITY",
            "state": "IL",
            "postal_code": "614700118",
            "telephone_number": "808-286-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S LIBERTY ST STE 2",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811420",
            "telephone_number": "808-286-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LIBERTY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "LABOG",
        "authorized_official_title_or_position": "LICENSED MFT",
        "authorized_official_telephone_number": "808-286-8955",
        "authorized_official_credential": "LMFT"
    },
    "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": []
}

• Schuyler Dental PLLC
• Jenna E Settles, APN
• Charles Franklin Smith, D.C.
• Marcia Dianne Snyder, CRNA
• Snyder's Vaughn-Haven, Inc.
• Jaimee Steele
• Kerstin Marie Stitt, DO
• Marguerite Simonne Taillefer, M.D.
• Lori Ann Thomas, OTR/L, CLT-LANA
• Quintin Thurman

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rushville, IL
• Providers in Rushville, 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 Jan 17, 2022; 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.