Active NPI
Stouffer Clinical Counseling & Consulting LLC
- Community/Behavioral Health Agency
- Springfield, IL
National Provider Identifier
1982044889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 248000699
- Legal business name
- STOUFFER CLINICAL COUNSELING & CONSULTING LLC
- Practice address
- 900 Capital Airport Dr
Springfield, IL 62707-8410 - Phone
- (217) 415-1739
- NPI assigned
- Jun 25, 2013
- Last updated
- Jun 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin R Stouffer, LCPC
- Title
- Principal
- Phone
- (217) 415-1739
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 248000699 | IL | Primary |
Addresses
Primary practice location
900 Capital Airport Dr
Springfield, IL 62707-8410
Mailing address
900 Capital Airport Dr
Springfield, IL 62707-8410
Phone (217) 415-1739
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372118400000",
"number": "1982044889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CAPITAL AIRPORT DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627078410",
"telephone_number": "217-415-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CAPITAL AIRPORT DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627078410",
"telephone_number": "217-415-1739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOUFFER CLINICAL COUNSELING & CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-25",
"status": "A",
"authorized_official_last_name": "STOUFFER",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "217-415-1739",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "248000699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.