Southern Illinois Center for Art & Play Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.008512 Issued in IL

Legal business name

SOUTHERN ILLINOIS CENTER FOR ART & PLAY THERAPY LLC

Practice address

105 N Emerald LN
Suite C
Carbondale, IL 62901-2168

Phone

(618) 534-3393

Fax

(618) 457-7736

NPI assigned

Mar 8, 2013

Organization subpart

No

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

Authorized official

Name

Katherine Schwartz, ATR-BC, LCPCNPI 1487904579

Title

Owner/Counselor

Phone

(618) 534-3393

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.

• Katherine Eleanor Schwartz, LCPC

  • Mental Health Counselor
  • Manhattan, KS
  • NPI 1487904579
  NPD (past) Authorized official

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1740521285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N EMERALD LN",
            "address_2": "SUITE C",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012168",
            "telephone_number": "618-534-3393",
            "fax_number": "618-457-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N EMERALD LN",
            "address_2": "SUITE C",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012168",
            "telephone_number": "618-534-3393",
            "fax_number": "618-457-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS CENTER FOR ART & PLAY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "618-534-3393",
        "authorized_official_credential": "ATR-BC, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.008512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Tianna Sottile, MD
• Southern Il Regional Social Services
• Southern Il Regional Social Services
• Southern Il Regional Social Services, Inc.
• Southern Illinois Allergy&Asthma Center,SC
• Southern Illinois Center for Independent Living
• Southern Illinois Center for Independent Living
• Southern Illinois Community Counseling, PLLC
• Southern Illinois Counseling PLLC
• Southern Illinois Foot and Ankle Clinic LTD

• Community/Behavioral Health Agency in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.