Active NPI
Methodist
Doing business as Unitypoint Health Methodist
- Mental Health Counselor
- Peoria, IL
National Provider Identifier
1811512411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- METHODIST
- Doing business as
- Unitypoint Health Methodist
- Practice address
- 221 NE Glen Oak Ave
Peoria, IL 61636-0001 - Phone
- (309) 672-5604
- NPI assigned
- Jun 10, 2020
- Last updated
- Jun 10, 2020
- 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
- Mr. Christopher Legan, LCPC
- Title
- PHP Therapist
- Phone
- (309) 672-5604
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Mailing address
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5604
Other names 1
- Unitypoint Health Methodist
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Peoria, IL
- NPI 1396357091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1811512411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616360001",
"telephone_number": "309-672-5604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616360001",
"telephone_number": "309-672-5604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METHODIST",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "LEGAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PHP THERAPIST",
"authorized_official_telephone_number": "309-672-5604",
"authorized_official_name_prefix": "Mr.",
"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": [
{
"organization_name": "Unitypoint Health Methodist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peoria, IL
- Kasey Kolb Merritt
- Maria Meschewski, NP
- Ashley Messmer
- Kelley Marie Messmer, RPH
- Kelly C Messmore, M.S., CCC-SLP/L
- Methodist Medical Center of Illinois (Carle Health Home Dialysis Clinic)
- Methodist Medical Center of Illinois
- Methodist Medical Center of Illinois
- Methodist Medical Center of Illinois
- Methodist Medical Center of Illinois (Methodist Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.