Ogburn Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-008753 Issued in IL

Legal business name

OGBURN COUNSELING SERVICES, LLC

Practice address

5113 N Executive Dr Ste 101
Peoria, IL 61614-4884

Phone

(309) 682-3915

Fax

(309) 679-0703

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Leia A Ogburn, LCSW

Title

Sole Member

Phone

(309) 682-3915

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1790184182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 N EXECUTIVE DR STE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144884",
            "telephone_number": "309-682-3915",
            "fax_number": "309-679-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 N EXECUTIVE DR STE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144884",
            "telephone_number": "309-682-3915",
            "fax_number": "309-679-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGBURN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "OGBURN",
        "authorized_official_first_name": "LEIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "309-682-3915",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-008753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Oberg, M.S., L.P.C.
• Elizabeth A Objartel, NP
• Daniel Obrien, D.O.
• Timothy P Oconnor, M.D.
• Kristy Ann Odonnell, PT
• Leia A Ogburn, L.C.S.W.
• Oladoyin Ogunbayo Jolaoye
• Marcus Ohnemus, A.T.C.
• Oluchukwu Okonkwo, MD
• Linda Okra-Boateng

• Clinical Social Worker in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.