Active NPI
M. Craig Counseling Services, LLC
- Professional Counselor
- Peoria, IL
National Provider Identifier
1831643147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009303
- Legal business name
- M. CRAIG COUNSELING SERVICES, LLC
- Practice address
- 300 E War Memorial Dr
Suite 306
Peoria, IL 61614-7570 - Phone
- (309) 692-4193
- Fax
- (309) 424-4045
- NPI assigned
- Aug 4, 2016
- 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
- Mark Craig, LCPC
- Title
- Owner, LCPC
- Phone
- (309) 258-6473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.009303 | IL | Primary |
Addresses
Primary practice location
300 E War Memorial Dr
Suite 306
Peoria, IL 61614-7570
Mailing address
300 E War Memorial Dr
Suite 306
Peoria, IL 61614-7570
National Provider Directory
National Provider DirectoryLocations
300 E War Memorial Dr
Ste 306
Peoria, IL 61614
Phone (309) 692-4193
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Peoria, IL
- NPI 1700163730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470268800000",
"number": "1831643147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E WAR MEMORIAL DR",
"address_2": "SUITE 306",
"city": "PEORIA",
"state": "IL",
"postal_code": "616147570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E WAR MEMORIAL DR",
"address_2": "SUITE 306",
"city": "PEORIA",
"state": "IL",
"postal_code": "616147570",
"telephone_number": "309-692-4193",
"fax_number": "309-424-4045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M. CRAIG COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-04",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER, LCPC",
"authorized_official_telephone_number": "309-258-6473",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.