Organization Active NPI

JW Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Edwardsville, IL
National Provider Identifier
1962668798
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
02550873 Issued in IL
Legal business name
JW COUNSELING SERVICES, LLC
Practice address
643 Tamarach Dr
Edwardsville, IL 62025-5250
Phone
(618) 637-9030
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Ms. Jeannie Lynn Warren, LCPC
Title
Manager
Phone
(618) 637-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 02550873 IL Primary

Addresses

Primary practice location

643 Tamarach Dr
Edwardsville, IL 62025-5250

Mailing address

643 Tamarach Dr
Edwardsville, IL 62025-5250
Phone (618) 637-9030

National Provider Directory

National Provider Directory
Tax ID family
J W Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1962668798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 TAMARACH DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255250",
            "telephone_number": "618-637-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 TAMARACH DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255250",
            "telephone_number": "618-637-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-637-9030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "02550873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.