Active NPI
Judith Ann Augsburger, LCPC
- Professional Counselor
- East Moline, IL
National Provider Identifier
1780988899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.006397
- Practice address
- 4366 Kennedy Dr
East Moline, IL 61244-4250 - Phone
- (309) 796-1603
- Fax
- (309) 796-3513
- NPI assigned
- Jan 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.006397 | IL | Primary |
Addresses
Primary practice location
4366 Kennedy Dr
East Moline, IL 61244-4250
Mailing address
4366 Kennedy Dr
East Moline, IL 61244-4250
Phone (309) 796-1603
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006397 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individual Advocacy Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- East Moline, IL
- NPI 1659653319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1780988899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4366 KENNEDY DR",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612444250",
"telephone_number": "309-796-1603",
"fax_number": "309-796-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4366 KENNEDY DR",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612444250",
"telephone_number": "309-796-1603",
"fax_number": "309-796-3513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGSBURGER",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.006397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.