Active NPI
Agape Christian Counseling,LLC
- Clinical Social Worker
- Robinson, IL
National Provider Identifier
1992059117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149007647
- 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, 2012
- 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. Richard O. Swisher, LCSW
- Title
- President
- Phone
- (618) 544-3517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.