Active NPI
The Rachael Academy of Education
- Social Worker
- Marion, IL
National Provider Identifier
1902659667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- THE RACHAEL ACADEMY OF EDUCATION
- Practice address
- 108East Deyoung St
Marion, IL 62959 - Phone
- (618) 816-5362
- NPI assigned
- Apr 10, 2024
- 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
- Mary Anderson, LSW
- Title
- Ceo
- Phone
- (618) 534-6834
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | |||
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
108East Deyoung St
Marion, IL 62959
Mailing address
1013 Shawnee TRL
Carterville, IL 62918-1639
Phone (618) 534-6834
National Provider Directory
National Provider DirectoryLocations
108 E Deyoung St
Marion, IL 62959
Phone (618) 816-5362
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Carterville, IL
- NPI 1407565831
-
- Speech-Language Pathologist
- Carterville, IL
- NPI 1780433508
-
- Social Worker
- Carterville, IL
- NPI 1902655715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1902659667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 SHAWNEE TRL",
"city": "CARTERVILLE",
"state": "IL",
"postal_code": "629181639",
"telephone_number": "618-534-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108EAST DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "62959",
"telephone_number": "618-816-5362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE RACHAEL ACADEMY OF EDUCATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "618-534-6834",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.