Organization Active NPI

M. Craig Counseling Services, LLC

  • Professional Counselor
  • Peoria, IL
National Provider Identifier
1831643147
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009303 Issued in IL
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

Updated by the provider on Aug 4, 2016

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.