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COUNSELING FOR A CHANGE
NPI 1285803072
Counselor - Professional in Goreville, IL

Active since February 26, 2008
70 SANDY PT, GOREVILLE, IL 62939(618) 889-3987(618) 351-1419 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Counseling For A Change NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNSELING FOR A CHANGE (NPI 1285803072), doing business as Former Lbn - Danield Andrew Selock, is a healthcare organization registered as a professional in Goreville, Illinois and active in the NPI registry since February 2008. The organization lists Daniel Andrew Selock, Owner, as its authorized official.

NPPES Registry Identity

NPI1285803072
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCOUNSELING FOR A CHANGE
Location Address70 SANDY PTGoreville, IL 62939-3122
Mailing Address70 Sandy PtGoreville, IL 62939-3122 · (618) 889-3987 · Fax (618) 351-1419
Phone(618) 889-3987
Fax(618) 351-1419
Organization SubpartNo
Authorized OfficialDaniel Andrew SelockOwner · (618) 889-3987
Enumeration DateFebruary 26, 2008
Last NPPES UpdateJanuary 8, 2013
✔ NPI 1285803072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180006639
70 SANDY PT, Goreville, IL 62939
Open in Google Maps ↗

Other Names 1

Former Legal Business NameFormer Lbn - Danield Andrew Selock

Other Identifiers 3

Other03932079IL · Blue Cross Blue Shield
Other180006639IL · State License, Lcpc
Other11826508IL · Caqh

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL ANDREW SELOCK MS/CADC/LCPC
Counselor (Professional)
70 SANDY PT
GOREVILLE, IL 62939
Johnson County (618) 889-3987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Counseling For A Change's NPI number?

The NPI number for Counseling For A Change is 1285803072. It was assigned to this organization in the NPPES registry on February 26, 2008. The provider was formerly known as Former Lbn - Danield Andrew Selock.

Where is Counseling For A Change located?

Counseling For A Change is located at 70 Sandy Pt, Goreville, IL 62939. The listed phone number is (618) 889-3987.

What is Counseling For A Change's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Counseling For A Change was last updated on January 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.