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COUNSELING CLINIC LTD.
NPI 1922287887
Social Worker - Clinical in Edwardsville, IL

Active since October 29, 2007
871 S ARBOR VITAE STE 3, EDWARDSVILLE, IL 62025(618) 659-9111(618) 692-9111 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Counseling Clinic Ltd. NPPES

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

COUNSELING CLINIC LTD. (NPI 1922287887) is a healthcare organization registered as a clinical in Edwardsville, Illinois and active in the NPI registry since October 2007. The organization lists Jean Perry, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922287887
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOUNSELING CLINIC LTD.
Location Address871 S ARBOR VITAE STE 3Edwardsville, IL 62025-3400
Mailing Address871 S Arbor Vitae Suite 003Edwardsville, IL 62025-3400 · (618) 659-9111 · Fax (618) 692-9111
Phone(618) 659-9111
Fax(618) 692-9111
Organization SubpartNo
Authorized OfficialJean PerryOffice Manager · (618) 659-9111
Enumeration DateOctober 29, 2007
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1922287887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
871 S ARBOR VITAE STE 3, Edwardsville, IL 62025
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Counseling Clinic Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Counseling Clinic Ltd., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ruth Kubicek, LCSW
Clinical Social Worker
NPI 1922155886
9 JUNCTION DRIVE WEST SUITE 2
Glen Carbon, IL 62024
(618) 288-5708
✔ PECOS✔ Accepts Medicare6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clinic Ltd.'s NPI number?

The NPI number for Counseling Clinic Ltd. is 1922287887. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Counseling Clinic Ltd. located?

Counseling Clinic Ltd. is located at 871 S Arbor Vitae Ste 3, Edwardsville, IL 62025. The listed phone number is (618) 659-9111.

What is Counseling Clinic Ltd.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Counseling Clinic Ltd. enrolled in Medicare?

Yes. Counseling Clinic Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Counseling Clinic Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Counseling Clinic Ltd.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Counseling Clinic Ltd. was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.