SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES, INC.
NPI 1083851182
Community/Behavioral Health in Carbondale, IL

Active since January 12, 2009
602 E COLLEGE ST, CARBONDALE, IL 62901(618) 457-6703(618) 457-8377 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Southern Illinois Regional Social Services, Inc., a provider established in Carbondale, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1083851182 assigned on January 2009. The practitioner's primary taxonomy code is 251S00000X with license number A-0243-0001-A (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Southern Illinois Regional Social Services, Inc.. The authorized official of this NPI record is Ms. Karen S Freitag (Executive Director)

NPI
1083851182 Verify this NPI
Provider Legal Name
SOUTHERN IL REGIONAL SOCIAL SERVICES
Other Organization Name
SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES, INC.
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
602 E COLLEGE ST CARBONDALE, IL 62901
Location Phone
(618) 457-6703
Location Fax
(618) 457-8377
Mailing Address
604 E COLLEGE ST CARBONDALE, IL 62901
Mailing Phone
(618) 457-6703
Mailing Fax
(618) 457-8377
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-12-2009
Last Update Date
03-09-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
A-0243-0001-A
License State
IL
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KAREN S FREITAG

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(618) 457-6703

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========007MEDICAID (05)IL 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
602 E COLLEGE ST
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083851182, enumerated as an "organization" on January 12, 2009.

The provider is located at 602 E COLLEGE ST CARBONDALE, IL 62901 and the phone number is (618) 457-6703.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.