NPIMap

Organization Active NPI

Midwest Forensic Vocational Rehabilitation and Life Care Planning Cons

  • Mental Health Counselor
  • Springfield, IL
National Provider Identifier
1982471389
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIDWEST FORENSIC VOCATIONAL REHABILITATION AND LIFE CARE PLANNING CONS
Practice address
15 S Old State Capitol Plaza
Springfield, IL 62701
Phone
(815) 993-8724
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Dr. Matthew Evan Sprong, PHDNPI 1093137440
Title
Ceo
Phone
(815) 993-8724

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

15 S Old State Capitol Plaza
Springfield, IL 62701

Mailing address

PO Box 266
Covington, IN 47932-0266
Phone (815) 993-8724

National Provider Directory

National Provider Directory

Locations

15 S Old State Capitol Plz
Springfield, IL 62701
Phone (815) 993-8724

Practitioners & affiliated clinicians

Practitioners 5

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": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1982471389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "COVINGTON",
            "state": "IN",
            "postal_code": "479320266",
            "telephone_number": "815-993-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S OLD STATE CAPITOL PLAZA",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62701",
            "telephone_number": "815-993-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FORENSIC VOCATIONAL REHABILITATION AND LIFE CARE PLANNING CONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "SPRONG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-993-8724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Dec 6, 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.