Organization Active NPI

Clinical Systems, Inc.

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1881764751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CLINICAL SYSTEMS, INC.
Practice address
3151 Butler St
Springfield, IL 62703-4300
Phone
(217) 529-2142
Fax
(217) 529-2174
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael G Howie, LCPC
Title
Executive Director
Phone
(217) 529-2142

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X IL Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X IL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X IL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X IL

Addresses

Primary practice location

3151 Butler St
Springfield, IL 62703-4300

Mailing address

3151 Butler St
Springfield, IL 62703-4300
Phone (217) 529-2142

Other identifiers 1

IdentifierTypeStateIssuer
0008415010OtherILBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

3151 Butler St
Springfield, IL 62703
Phone (217) 529-2142

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881764751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 BUTLER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034300",
            "telephone_number": "217-529-2142",
            "fax_number": "217-529-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 BUTLER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034300",
            "telephone_number": "217-529-2142",
            "fax_number": "217-529-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-529-2142",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0008415010",
            "state": "IL"
        }
    ],
    "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 Aug 22, 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.