Aimee J Crask, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180005810 Issued in IL

Practice address

1942 E Cantrell St
Decatur, IL 62521-3214

Phone

(217) 423-6961

NPI assigned

Sep 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aimee J Calhoun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Moultrie County Mental Health Center

  • Community/Behavioral Health Agency
  • Sullivan, IL
  • NPI 1811025240

  Professional

  NPD (past)
• Webster Cantrell Youth Advocacy

  • Mental Health Counselor
  • Decatur, IL
  • NPI 1710518741
  NPD (past)
• Webster Cantrell Youth Advocacy

  • Mental Health Counselor
  • Decatur, IL
  • NPI 1841830429
  NPD (past)

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1831526425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 E CANTRELL ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213214",
            "telephone_number": "217-423-6961",
            "fax_number": "217-421-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E CANTRELL ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213214",
            "telephone_number": "217-423-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Underwood Ct",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625261983",
            "country_code": "US",
            "telephone_number": "217-233-6811 x3217",
            "fax_number": "217-233-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRASK",
        "first_name": "AIMEE",
        "middle_name": "J",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "180005810",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "180005810",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "CALHOUN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Decatur, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.