Internal Strength Counseling, LLC

Key facts

NPI

1962099200

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

INTERNAL STRENGTH COUNSELING, LLC

Practice address

787 Sunset Blvd Ste 100
O Fallon, IL 62269-1960

Phone

(618) 917-5837

Fax

(618) 726-2035

NPI assigned

Dec 21, 2020

Organization subpart

No

Authorized official

Name

Mrs. Kelli Silhavy, LCSW, MSW NPI 1558809962

Title

Therapist

Phone

(618) 917-5837

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Kelli Silhavy, LCSW Clinical Social Worker · Fairview Heights, IL · NPI 1558809962
  NPD Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 21, 2020.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1962099200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 SUNSET BLVD STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691960",
            "telephone_number": "618-917-5837",
            "fax_number": "618-726-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 SUNSET BLVD STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691960",
            "telephone_number": "618-917-5837",
            "fax_number": "618-726-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL STRENGTH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "SILHAVY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "618-917-5837",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "149018438",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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