NPIMap

Organization Active NPI

Springfield Family Counseling Center

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1992867667
Registry record updated Jul 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150-10021 Issued in IL
Legal business name
SPRINGFIELD FAMILY COUNSELING CENTER
Practice address
1700 S Spring St
Suite A1
Springfield, IL 62704-3961
Phone
(217) 494-3727
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2008

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

Authorized official

Name
Mr. Glenn M. Curry, LCSW
Title
Partner
Phone
(217) 494-3727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 150-10021 IL Primary

Addresses

Primary practice location

1700 S Spring St
Suite A1
Springfield, IL 62704-3961

Mailing address

1700 S Spring St
Suite A1
Springfield, IL 62704-3961
Phone (217) 494-3727

Other identifiers 1

IdentifierTypeStateIssuer
0008432049OtherILBLUE CROSS-BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1700 S Spring St
Ste A1
Springfield, IL 62704
Phone (217) 494-3727

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217116800000",
    "number": "1992867667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S SPRING ST",
            "address_2": "SUITE A1",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043961",
            "telephone_number": "217-494-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S SPRING ST",
            "address_2": "SUITE A1",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043961",
            "telephone_number": "217-494-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-07-27",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "217-494-3727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150-10021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "0008432049",
            "state": "IL"
        }
    ],
    "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 Jul 27, 2008; 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.