Organization Active NPI

Christian Counseling and Family Services

  • Professional Counselor
  • Mount Vernon, IL
National Provider Identifier
1851953129
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHRISTIAN COUNSELING AND FAMILY SERVICES
Practice address
301 N 10TH St
Mount Vernon, IL 62864-3544
Phone
(618) 242-4185
Fax
(618) 242-0818
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Ms. Paula Clouse, LCPCNPI 1275195018
Title
Therapist
Phone
(618) 242-4185

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

301 N 10TH St
Mount Vernon, IL 62864-3544

Mailing address

301 N 10TH St
Mount Vernon, IL 62864-3544
Phone (618) 242-4185

National Provider Directory

National Provider Directory

Locations

301 N 10th St
Mount Vernon, IL 62864
Phone (618) 242-4185

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1851953129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 10TH ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628643544",
            "telephone_number": "618-242-4185",
            "fax_number": "618-242-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 10TH ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628643544",
            "telephone_number": "618-242-4185",
            "fax_number": "618-242-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "618-242-4185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.