Individual provider Active NPI

Benjamin Rasche, LCPC

  • Counselor
  • Springfield, IL
National Provider Identifier
1861842957
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.009925 Issued in IL
Practice address
1999 Wabash Ave
Suite 209
Springfield, IL 62704-5351
Phone
(217) 891-6063
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.009925 IL Primary

Addresses

Primary practice location

1999 Wabash Ave
Suite 209
Springfield, IL 62704-5351

Mailing address

1999 Wabash Ave
Suite 209
Springfield, IL 62704-5351
Phone (217) 891-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.009925ILMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1861842957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 WABASH AVE",
            "address_2": "SUITE 209",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045351",
            "telephone_number": "217-891-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 WABASH AVE",
            "address_2": "SUITE 209",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045351",
            "telephone_number": "217-891-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCHE",
        "first_name": "BENJAMIN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.009925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.