Active NPI
TS Onsite Mental Health
- Clinical Social Worker
- Herrin, IL
National Provider Identifier
1699168161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TS ONSITE MENTAL HEALTH
- Practice address
- 14376 Allen Rd
Herrin, IL 62948-6447 - Phone
- (618) 889-0901
- NPI assigned
- Mar 9, 2015
- Last updated
- Mar 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Stacie Carr, MSW, LCSW
- Title
- Vice President
- Phone
- (618) 335-7364
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
14376 Allen Rd
Herrin, IL 62948-6447
Mailing address
14376 Allen Rd
Herrin, IL 62948-6447
Phone (618) 889-0901
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Mount Vernon, IL
- NPI 1093034415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425859200000",
"number": "1699168161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14376 ALLEN RD",
"city": "HERRIN",
"state": "IL",
"postal_code": "629486447",
"telephone_number": "618-889-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14376 ALLEN RD",
"city": "HERRIN",
"state": "IL",
"postal_code": "629486447",
"telephone_number": "618-889-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TS ONSITE MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "STACIE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "618-335-7364",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.