NPIMap

Organization Active NPI

Caring Counseling Ministries

  • Clinical Social Worker
  • Marion, IL
National Provider Identifier
1821153206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CARING COUNSELING MINISTRIES
Practice address
1410 W Chestnut St
Marion, IL 62959-1910
Phone
(618) 997-2129
Fax
(618) 997-7972
NPI assigned
Dec 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Kenton Mattox, LCSWNPI 1952509531
Title
Director Counselor
Phone
(618) 997-2129

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X IL Primary

Addresses

Primary practice location

1410 W Chestnut St
Marion, IL 62959-1910

Mailing address

1410 W Chestnut St
Marion, IL 62959-1910
Phone (618) 997-2129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110803000384 IL Part B Supplier - Clinic/Group Practice 2961671201 Receives reassigned benefits from 4 practitioners
Practice locations: Marion, IL

National Provider Directory

National Provider Directory

Locations

1410 W Chestnut St
Marion, IL 62959
Phone (618) 997-2129

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821153206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W CHESTNUT ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591910",
            "telephone_number": "618-997-2129",
            "fax_number": "618-997-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W CHESTNUT ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591910",
            "telephone_number": "618-997-2129",
            "fax_number": "618-997-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING COUNSELING MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTOX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KENTON",
        "authorized_official_title_or_position": "DIRECTOR COUNSELOR",
        "authorized_official_telephone_number": "618-997-2129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.