Organization Active NPI

New Directions Counseling Center

  • Clinical Social Worker
  • Princeton, IL
National Provider Identifier
1831729466
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW DIRECTIONS COUNSELING CENTER
Practice address
28 E Marion St Ste 5
Princeton, IL 61356-2098
Phone
(815) 875-2192
Fax
(815) 879-0168
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Lisa M Johnson, LCSWNPI 1417375650
Title
Owner
Phone
(563) 242-5316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

28 E Marion St Ste 5
Princeton, IL 61356-2098

Mailing address

PO Box 361
Clinton, IA 52733-0361
Phone (563) 242-5316

Other identifiers 1

IdentifierTypeStateIssuer
1417375650MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NANCY@PROFBILLS.COM

National Provider Directory

National Provider Directory

Locations

28 E Marion St
Ste 5
Princeton, IL 61356
Phone (815) 875-2192

Interoperability endpoints

  • Direct secure messaging: nancy@profbills.com

Practitioners & affiliated clinicians

Practitioners 3

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": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1831729466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527330361",
            "telephone_number": "563-242-5316",
            "fax_number": "563-242-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E MARION ST STE 5",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562098",
            "telephone_number": "815-875-2192",
            "fax_number": "815-879-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-242-5316",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417375650",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NANCY@PROFBILLS.COM",
            "affiliation": "N",
            "address_1": "28 E Marion St Ste 5",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613562098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.