Countermeasures Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A-1028-0006 Issued in IL

Legal business name

COUNTERMEASURES INC

Practice address

343 Court St
Pekin, IL 61554-3234

Phone

(309) 347-8282

Fax

(309) 347-3216

NPI assigned

Jan 26, 2015

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rachel Holocker

Title

Office Manager

Phone

(309) 347-8282

Specialties & licenses 1

Addresses

Tax ID family

Countermeasures Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Countermeasures, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Bloomington, IL
  • NPI 1528376985
  NPD tax ID
• Countermeasures, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Peoria, IL
  • NPI 1851787493
  NPD tax ID

Locations

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1770973067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 COURT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543234",
            "telephone_number": "309-347-8282",
            "fax_number": "309-347-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 COURT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543234",
            "telephone_number": "309-347-8282",
            "fax_number": "309-347-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTERMEASURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "HOLOCKER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-347-8282",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-1028-0006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria J. Columbia, LPN
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• Community Living Options Inc (Davies Square)
• Comprehensive Healthcare, PC
• Kevin Conroy, DDS
• Margaret Mary Courson, B.A., QMRP
• Diane Cozadd
• Tina I Crawford, RN
• Emily Crebo, FNP
• Crossroads Programs, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Pekin, IL
• Providers in Pekin, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.