Active NPI
Lasting Serenity Counseling Services LLC
- Mental Health Counselor
- Washington, IL
National Provider Identifier
1770052110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LASTING SERENITY COUNSELING SERVICES LLC
- Practice address
- 24363 Spring Creek Rd Ste H
Washington, IL 61571-9654 - Phone
- (815) 310-0722
- Fax
- (309) 276-0308
- NPI assigned
- Nov 14, 2018
- 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
- Nichole Lee Bosserman, LCPC
- Title
- Owner
- Phone
- (815) 310-0722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
24363 Spring Creek Rd Ste H
Washington, IL 61571-9654
Mailing address
24363 Spring Creek Rd Ste H
Washington, IL 61571-9654
Phone (815) 310-0722
National Provider Directory
National Provider DirectoryLocations
24363 Spring Creek Rd
Ste H
Washington, IL 61571
Phone (309) 204-9881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542153600000",
"number": "1770052110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24363 SPRING CREEK RD STE H",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719654",
"telephone_number": "815-310-0722",
"fax_number": "309-276-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24363 SPRING CREEK RD STE H",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719654",
"telephone_number": "815-310-0722",
"fax_number": "309-276-0308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASTING SERENITY COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A",
"authorized_official_last_name": "BOSSERMAN",
"authorized_official_first_name": "NICHOLE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-310-0722",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.