Active NPI
Carbondale Dui & Counseling Associates, Inc.
- Mental Health Counselor
- Marion, IL
National Provider Identifier
1720775893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CARBONDALE DUI & COUNSELING ASSOCIATES, INC.
- Practice address
- 502 S Court St
Marion, IL 62959-2816 - Phone
- (618) 993-3013
- Fax
- (618) 998-8018
- NPI assigned
- Apr 19, 2023
- 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
- Mrs. Cortney M Grassl, LCSW, CADC
- Title
- Program Director
- Phone
- (618) 993-3013
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
502 S Court St
Marion, IL 62959-2816
Mailing address
502 S Court St
Marion, IL 62959-2816
Phone (618) 993-3013
Other names 1
- Sage Counseling of Southern Illinois
National Provider Directory
National Provider DirectoryLocations
502 S Court St
Marion, IL 62959
Phone (618) 993-3013
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": "1681862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1720775893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S COURT ST",
"city": "MARION",
"state": "IL",
"postal_code": "629592816",
"telephone_number": "618-993-3013",
"fax_number": "618-998-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S COURT ST",
"city": "MARION",
"state": "IL",
"postal_code": "629592816",
"telephone_number": "618-993-3013",
"fax_number": "618-998-8018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARBONDALE DUI & COUNSELING ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-19",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "GRASSL",
"authorized_official_first_name": "CORTNEY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "618-993-3013",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW, CADC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sage Counseling of Southern Illinois",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sage Counseling of Southern Illinois",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.