Organization Active NPI

Collaborative Solutions Institute

  • Mental Health Counselor
  • Bloomington, IL
National Provider Identifier
1902928005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLLABORATIVE SOLUTIONS INSTITUTE
Practice address
200 W Front St
Suite 400a
Bloomington, IL 61701-5048
Phone
(309) 828-2860
Fax
(309) 827-2637
NPI assigned
Apr 6, 2007
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
Ms. Cheryl L Gaines, LCPCNPI 1669695524
Title
Ceopresident
Phone
(309) 828-2860

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IL Primary

Addresses

Primary practice location

200 W Front St
Suite 400a
Bloomington, IL 61701-5048

Mailing address

200 W Front St
Suite 400a
Bloomington, IL 61701-5048
Phone (309) 828-2860

National Provider Directory

National Provider Directory

Locations

200 W Front St
Ste 400A
Bloomington, IL 61701
Phone (309) 828-2860

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902928005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W FRONT ST",
            "address_2": "SUITE 400A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015048",
            "telephone_number": "309-828-2860",
            "fax_number": "309-827-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W FRONT ST",
            "address_2": "SUITE 400A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015048",
            "telephone_number": "309-828-2860",
            "fax_number": "309-827-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE SOLUTIONS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEOPRESIDENT",
        "authorized_official_telephone_number": "309-828-2860",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, 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.