Active NPI
Caring Counseling Ministries
- Clinical Social Worker
- Marion, IL
National Provider Identifier
1821153206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
- 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. James Kenton Mattox, LCSW
- Title
- Director Counselor
- Phone
- (618) 997-2129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110803000384 | IL | Part B Supplier - Clinic/Group Practice | 2961671201 |
Receives reassigned benefits from 4 practitioners Practice locations: Marion, IL |
National Provider Directory
National Provider DirectoryLocations
1410 W Chestnut St
Marion, IL 62959
Phone (618) 997-2129
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Carbondale, IL
- NPI 1447055462
-
- Mental Health Counselor
- Marion, IL
- NPI 1730037649
-
- Professional Counselor
- Marion, IL
- NPI 1902006604
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.