Ebbe'S Professional Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180006788 Issued in IL

Legal business name

EBBE'S PROFESSIONAL COUNSELING SERVICES

Practice address

206 N Randolph St
405
Champaign, IL 61820-3949

Phone

(217) 355-1466

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Eunice Marie Bucknerboone, LCPCNPI 1477717775

Title

Licensed Professional Counselor

Phone

(217) 355-0825

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eunice Marie Bucknerboone, MS,LCPC,LPHA

  • Professional Counselor
  • Champaign, IL
  • NPI 1477717775
  NPD (past) Authorized official

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1881920361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST",
            "address_2": "405",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203949",
            "telephone_number": "217-355-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST",
            "address_2": "405",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203949",
            "telephone_number": "217-355-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBBE'S PROFESSIONAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "BUCKNERBOONE",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "217-355-0825",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180006788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals-Ucp
• Glenn Clark Easterling Jr., MA
• Haley E Eastin, MD
• Kathy Lynn Eaton, DDS
• Kai Ebata
• Lauren Therese Eberle
• Patrick Ebke, ATC
• Edward Chun, P.C.
• Lacey Edwards
• Latasha Edwards

• Community/Behavioral Health Agency in Champaign, IL
• Providers in Champaign, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.