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WAYNE FAMILY COUNSELING CTR
NPI 1013186568
Counselor - Addiction (Substance Use Disorder) in Fairfield, IL

Active since February 28, 2008
407 N BASIN RD, FAIRFIELD, IL 62837(618) 842-2125(618) 842-2126 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wayne Family Counseling Ctr NPPES

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

WAYNE FAMILY COUNSELING CTR (NPI 1013186568) is a healthcare organization registered as an addiction (substance use disorder) in Fairfield, Illinois and active in the NPI registry since February 2008. The organization lists Glenn Jackson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013186568
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameS E ILLINOIS COUNSELING CTRS
Location Address407 N BASIN RDFairfield, IL 62837-9639
Mailing AddressPo Box M, 504 Micah DriveOlney, IL 62450-0913 · (618) 395-4306 · Fax (618) 395-4507
Phone(618) 842-2125
Fax(618) 842-2126
Organization SubpartNo
Authorized OfficialGlenn JacksonExecutive Director · (618) 395-4309
Enumeration DateFebruary 28, 2008
Last NPPES UpdateMay 5, 2016
✔ NPI 1013186568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
407 N BASIN RD, Fairfield, IL 62837
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Other Names 1

Other NameWayne Family Counseling Ctr

Other Identifiers 3

Medicaid=========010IL
Medicaid=========008IL
Medicare PINIL2222IL

Other Providers at the Same Location NPPES 10

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

MS. SHARI WINTER BS
Counselor (Mental Health)
407 N BASIN RD
FAIRFIELD, IL 62837
Wayne County (618) 842-2125
RENAE ROBERTSON BS
Counselor (Mental Health)
407 N BASIN RD
FAIRFIELD, IL 62837
Wayne County (618) 842-2125
ROSELLA LEEANN BOOK
Counselor (Mental Health)
407 N BASIN RD
FAIRFIELD, IL 62837
Wayne County (618) 516-3526
EGYPTIAN HEALTH DEPARTMENT
Clinic/Center (Mental Health (Including Community Mental Health Center))
407 N BASIN RD
FAIRFIELD, IL 62837
Wayne County (618) 273-3326
EGYPTIAN HEALTH DEPARTMENT
Clinic/Center (Rehabilitation, Substance Use Disorder)
407 N BASIN RD
FAIRFIELD, IL 62837
Wayne County (618) 273-3326
DESEREE DAUN PRICE
Counselor
407 N BASIN RD
FAIRFIELD, IL 62837
Wayne County (618) 516-5326
BRIAN FRANK VAHL
Counselor (Addiction (Substance Use Disorder))
407 N BASIN RD
FAIRFIELD, IL 62837
Wayne County (618) 516-5326
MISS MAKENZIE BAKER X BS
Counselor (Addiction (Substance Use Disorder))
407 N BASIN RD
FAIRFIELD, IL 62837
Wayne County (618) 842-2125

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 S E Illinois Counseling Ctrs's NPI number?

The NPI number for S E Illinois Counseling Ctrs is 1013186568. It was assigned to this organization in the NPPES registry on February 28, 2008. The provider is also known as Wayne Family Counseling Ctr.

Where is S E Illinois Counseling Ctrs located?

S E Illinois Counseling Ctrs is located at 407 N Basin Rd, Fairfield, IL 62837. The listed phone number is (618) 842-2125.

What is S E Illinois Counseling Ctrs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for S E Illinois Counseling Ctrs was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.