Organization Active NPI

Cambron Talbott Counseling

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1740722099
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAMBRON TALBOTT COUNSELING
Practice address
2000 W Pioneer Pkwy Ste 3
Peoria, IL 61615-1883
Phone
(309) 210-3055
NPI assigned
Nov 16, 2016
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Connie G Cambron-Adams, LCSWNPI 1447200035
Title
Owner
Phone
(309) 210-3055

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2000 W Pioneer Pkwy Ste 3
Peoria, IL 61615-1883

Mailing address

2000 W Pioneer Pkwy Ste 3
Peoria, IL 61615-1883
Phone (309) 210-3055

National Provider Directory

National Provider Directory

Locations

2000 W Pioneer Pkwy
Ste 3
Peoria, IL 61615
Phone (309) 210-3055

5113 N Executive Dr
Ste 103
Peoria, IL 61614
Phone (309) 692-7779

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1740722099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 3",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151883",
            "telephone_number": "309-210-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 3",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151883",
            "telephone_number": "309-210-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRON TALBOTT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "CAMBRON-ADAMS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-210-3055",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.