Individual provider Active NPI

William L Syrcle, MS, NCC, LCPC

  • Counselor
  • Macomb, IL
National Provider Identifier
1811194376
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180-004415 Issued in IL
Practice address
103 S Johnson St
Macomb, IL 61455-2134
Phone
(309) 833-2008
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180-004415 IL Primary
Mental Health Counselor 101YM0800X 180-004415 IL
Professional Counselor 101YP2500X 180-004415 IL

Addresses

Primary practice location

103 S Johnson St
Macomb, IL 61455-2134

Mailing address

103 S Johnson St
Macomb, IL 61455-2134
Phone (309) 833-2008

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180-004415ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synago, LLC Counselor 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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1811194376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S JOHNSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552134",
            "telephone_number": "309-833-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S JOHNSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552134",
            "telephone_number": "309-833-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRCLE",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "credential": "MS, NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180-004415",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-004415",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.