SOUTHERN ILLINOIS BEHAVIORAL SERVICES
NPI 1063460897
Clinic/Center - Mental Health (Including Community Mental Health Center) in Du Quoin, IL

Active since May 04, 2006
1016 S MADISON ST, SUITE A, DU QUOIN, IL 62832(618) 542-4357(618) 542-3442 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2021, Feb 23, 2021 (2 updates tracked since 2021).

About Southern Illinois Behavioral Services NPPES

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

SOUTHERN ILLINOIS BEHAVIORAL SERVICES (NPI 1063460897) is a healthcare organization registered as a mental health (including community mental health center) in Du Quoin, Illinois and active in the NPI registry since May 2006. The organization lists John R Venskus, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063460897
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePERRY COUNTY COUNSELING CENTER INC
Location Address1016 S MADISON ST, SUITE ADu Quoin, IL 62832-2442
Mailing Address1016 S Madison St, Suite ADu Quoin, IL 62832-2442 · (618) 542-4357 · Fax (618) 542-3442
Fax(618) 542-3442
Organization SubpartNo
Authorized OfficialJohn R VenskusExecutive Director · (618) 542-4357
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1063460897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1016 S MADISON ST, Du Quoin, IL 62832

Other Names 1

Doing Business AsSouthern Illinois Behavioral Services

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Illinois Behavioral Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Illinois Behavioral Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Social Worker
NPI 1578633277
1016 S MADISON ST SUITE A
Du Quoin, IL 62832
(618) 542-4357
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1578374765
1016 S MADISON ST STE A
Du Quoin, IL 62832
(618) 542-4357
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1528383619
902 W MAIN ST
West Frankfort, IL 62896
(618) 937-6483
✔ PECOS✔ Accepts Medicare18 mi
Clinical Social Worker
NPI 1659800324
406 E VINE ST
Vienna, IL 62995
(618) 658-3079
✔ PECOS✔ Accepts Medicare44 mi
Mental Health Counselor
NPI 1144433228
206 W 5TH ST
Metropolis, IL 62960
(618) 524-9368
✔ PECOS✔ Accepts Medicare65 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 Perry County Counseling Center Inc's NPI number?

The NPI number for Perry County Counseling Center Inc is 1063460897. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Southern Illinois Behavioral Services.

Where is Perry County Counseling Center Inc located?

Perry County Counseling Center Inc is located at 1016 S Madison St Suite A, Du Quoin, IL 62832. The listed phone number is (618) 542-4357.

What is Perry County Counseling Center 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.

Is Perry County Counseling Center Inc enrolled in Medicare?

Yes. Perry County Counseling Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Perry County Counseling Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Perry County Counseling Center Inc. 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. The largest specialties are Mental Health Counselor (3) and Clinical Social Worker (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Perry County Counseling Center Inc was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.