Individual provider Active NPI

Alyssa Elizabeth Loman

  • Professional Counselor
  • Taylorville, IL
National Provider Identifier
1750811873
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178013093 Issued in IL
Practice address
730 N Pawnee St
Taylorville, IL 62568-1400
Phone
(217) 824-4905
Fax
(217) 824-3570
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178013093 IL Primary

Addresses

Primary practice location

730 N Pawnee St
Taylorville, IL 62568-1400

Mailing address

PO Box 438
Taylorville, IL 62568-0438
Phone (217) 824-4905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178013093ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Radzom Counseling LLC Past Accepting new patients
Christian County Mental Health Association PastSince Nov 1, 2011 Accepting new patients
County of Christian Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1750811873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625680438",
            "telephone_number": "217-824-4905",
            "fax_number": "217-824-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N PAWNEE ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681400",
            "telephone_number": "217-824-4905",
            "fax_number": "217-824-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAN",
        "first_name": "ALYSSA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178013093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.