Louis M Douglas , LCPC, LSOTP, LSOE
Counselor - Professional • Springfield, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Louis Douglas has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Louis Douglas, LCPC, LSOTP, LSOE was a registered Counselor - Professional practicing in Springfield, IL. Throughout an active medical career spanning 5 years, Louis Douglas provided care at the practice location at 1039 WABASH AVE until profile deactivation on 2021-08-26.
Practice Location & Contact Primary Location
1039 Wabash Ave
Springfield, IL 627044900
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Springfield, IL
Practicing in Springfield, IL (9683 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 26, 2021
NPI status registered as active in NPPES database
Registered at 1039 WABASH AVE, SPRINGFIELD, IL 627044900 (Tel: 2179604199)
Registered at PO BOX 241, ROCHESTER, IL 625630241 (Tel: 2179604199)
Recorded as LOUIS DOUGLAS, LCPC,LSOTP,LSOE
Counselor (License #101YP2500X in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 241
Rochester, IL 625630241
Phone: 2179604199
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