Oak Vista Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OAK VISTA COUNSELING PLLC

Practice address

3526 N California Ave Ste 101
Peoria, IL 61603-1143

Phone

(773) 234-3574

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Robert H Beach III, LCPCNPI 1770823999

Title

Owner/Manager

Phone

(217) 840-9864

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert Beach III, LCPC

  • Mental Health Counselor
  • Morton, IL
  • NPI 1770823999
  NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1942998695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E HIGH POINT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142240",
            "telephone_number": "217-840-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 N CALIFORNIA AVE STE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031143",
            "telephone_number": "773-234-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK VISTA COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "217-840-9864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eilidh O'Brien
• Julie L O'Brien, APN, CNS
• Danielle O'Hare, MD
• Minna Jinn O'Leary, M.D.
• Patrick T O'Leary, MD
• Grace Oatman
• Fiyin Obajuluwa
• Stephanie Ann Ober, APN
• Deborah Oberg, M.S., L.P.C.
• Elizabeth A Objartel, NP

• Professional Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.