Organization Active NPI

Agape Christian Counseling,LLC

  • Clinical Social Worker
  • Robinson, IL
National Provider Identifier
1992059117
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149007647 Issued in IL
Legal business name
AGAPE CHRISTIAN COUNSELING,LLC
Practice address
500 W Highland Ave
Robinson, IL 62454-1018
Phone
(618) 544-2517
NPI assigned
Nov 9, 2012
Last updated
Nov 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Mr. Richard O. Swisher, LCSW
Title
President
Phone
(618) 544-3517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149007647 IL Primary

Addresses

Primary practice location

500 W Highland Ave
Robinson, IL 62454-1018

Mailing address

500 W Highland Ave
Robinson, IL 62454-1018

National Provider Directory

National Provider Directory

Locations

500 W Highland Ave
Robinson, IL 62454
Phone (618) 544-2517

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1992059117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W HIGHLAND AVE",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W HIGHLAND AVE",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541018",
            "telephone_number": "618-544-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CHRISTIAN COUNSELING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-544-3517",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robinson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.