Active NPI
Clinical Systems, Inc.
- Professional Counselor
- Springfield, IL
National Provider Identifier
1881764751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary | |
| Professional Counselor | 101YP2500X | IL | ||
| Professional Counselor | 101YP2500X | IL | ||
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008415010 | Other | IL | BLUECROSS BLUESHIELD |
National Provider Directory
National Provider DirectoryLocations
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.