CENTERSTONE OF ILLINOIS, INC
NPI 1033516950
Clinic/Center - Mental Health (Including Community Mental Health Center) in Carbondale, IL

Active since November 20, 2014CLIA 14D2071387 · Waiver
2411 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 937-6483 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2021, Sep 11, 2020, Apr 17, 2020 (3 updates tracked since 2020).

About Centerstone Of Illinois, Inc NPPES

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

CENTERSTONE OF ILLINOIS, INC (NPI 1033516950) is a healthcare organization registered as a mental health (including community mental health center) in Carbondale, Illinois and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Stacy Phillips, Director Of Revenue Cycles, as its authorized official.

NPPES Registry Identity

NPI1033516950
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCENTERSTONE OF ILLINOIS, INC
Location Address2411 S ILLINOIS AVECarbondale, IL 62903-5913
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 326-2772 · Fax (618) 937-1440
Organization SubpartNo
Authorized OfficialStacy PhillipsDirector Of Revenue Cycles · (618) 937-6483
Enumeration DateNovember 20, 2014
Last NPPES UpdateJuly 14, 20253 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1033516950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2411 S ILLINOIS AVE, Carbondale, IL 62903

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2071387

Centerstone · West Frankfort, IL
Active · expires Jan 9, 2028
CLIA Number14D2071387
Laboratory TypeDasa Dmh Licensed Fac
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorJessica Harman
Laboratory Phone(618) 319-4837
Laboratory LocationCenterstone902 W Main St, West Frankfort, IL 62896
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903
Counselor
2411 S ILLINOIS AVE
CARBONDALE, IL 62903

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 Centerstone Of Illinois, Inc's NPI number?

The NPI number for Centerstone Of Illinois, Inc is 1033516950. It was assigned to this organization in the NPPES registry on November 20, 2014.

Where is Centerstone Of Illinois, Inc located?

Centerstone Of Illinois, Inc is located at 2411 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 937-6483.

What is Centerstone Of Illinois, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Centerstone Of Illinois, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2071387) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerstone Of Illinois, Inc was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.