NPIMap

Organization Active NPI

Counselors Associates

  • Professional Counselor
  • Maryville, IL
National Provider Identifier
1922399682
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007781 Issued in IL
Legal business name
COUNSELORS ASSOCIATES
Practice address
3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone
(618) 972-1568
Fax
(618) 205-3561
NPI assigned
Apr 28, 2011
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Ms. Kristin Roberts, LCPC
Title
President
Phone
(618) 972-3191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180007781 IL Primary

Addresses

Primary practice location

3 Oak Dr Ste B
Maryville, IL 62062-5635

Mailing address

3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone (618) 972-1568

National Provider Directory

National Provider Directory

Locations

9 Junction Dr W
Ste 2
Glen Carbon, IL 62034
Phone (618) 288-5708

3 Oak Dr
#B
Maryville, IL 62062
Phone (618) 972-1568

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1922399682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OAK DR STE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625635",
            "telephone_number": "618-972-1568",
            "fax_number": "618-205-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OAK DR STE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625635",
            "telephone_number": "618-972-1568",
            "fax_number": "618-205-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELORS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-972-3191",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.