NPIMap

Organization Active NPI

Verdant Oak Counseling Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
National Provider Identifier
1972268464
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VERDANT OAK COUNSELING SERVICES PLLC
Practice address
2005 N Prospect Ave # 1047
Champaign, IL 61822-1235
Phone
(815) 200-6874
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Andrew Jeffrey Ritchie, LCPCNPI 1497297220
Title
Therapist/Owner
Phone
(815) 200-6874

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2005 N Prospect Ave # 1047
Champaign, IL 61822-1235

Mailing address

2005 N Prospect Ave # 1047
Champaign, IL 61822-1235
Phone (815) 200-6874

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1972268464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N PROSPECT AVE # 1047",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221235",
            "telephone_number": "815-200-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 N PROSPECT AVE # 1047",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221235",
            "telephone_number": "815-200-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDANT OAK COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "RITCHIE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "815-200-6874",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.