Organization Active NPI

Kjerstine Maas Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IL
National Provider Identifier
1720623978
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KJERSTINE MAAS COUNSELING, LLC
Practice address
1224 Towanda Ave Ste 22
Bloomington, IL 61701-7414
Phone
(309) 242-2884
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Kjerstine Maas, MS, LCPC
Title
Therapist
Phone
(309) 242-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1224 Towanda Ave Ste 22
Bloomington, IL 61701-7414

Mailing address

509 E Walnut St
Bloomington, IL 61701-3147
Phone (309) 242-2884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1720623978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013147",
            "telephone_number": "309-242-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 TOWANDA AVE STE 22",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017414",
            "telephone_number": "309-242-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJERSTINE MAAS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "MAAS",
        "authorized_official_first_name": "KJERSTINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "309-242-2884",
        "authorized_official_credential": "MS, LCPC"
    },
    "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": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.