ADVANCED COUNSELING EVALUATION TREATMENT AND DUI SERVICES
NPI 1104378579
Community/Behavioral Health in Normal, IL

NPI Status: Active since November 01, 2016

Contact Information

705 E LINCOLN ST
SUITE 204
NORMAL, IL
ZIP 61761
Phone: (309) 808-1017

Get Directions Write a Review

  • Organization
  • Community/Behavioral Health

About ADVANCED COUNSELING EVALUATION TREATMENT AND DUI SERVICES

This page provides the complete NPI Profile along with additional information for Advanced Counseling Evaluation Treatment And Dui Services, a provider established in Normal, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104378579 assigned on November 2016. The practitioner's primary taxonomy code is 251S00000X with license number A75150001A (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Michael Adam Burash Csadc (Counselor)

NPI
1104378579
Provider Name
ADVANCED COUNSELING EVALUATION TREATMENT AND DUI SERVICES
Entity Type
Organization
Location Address
705 E LINCOLN ST SUITE 204 NORMAL, IL 61761
Location Phone
(309) 808-1017
Mailing Address
705 E LINCOLN ST SUITE 204 NORMAL, IL 61761
Mailing Phone
(309) 808-1017
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2016
Last Update Date
11-01-2016
Code Navigator

Location Map

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.
A75150001A
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.

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

MICHAEL ADAM BURASH CSADC

Authorized Official Title
COUNSELOR
Authorized Official Phone
(815) 343-5691

Reviews for ADVANCED COUNSELING EVALUATION TREATMENT AND DUI SERVICES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104378579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21046716514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 6 + 7 + 1 + 6 + 5 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1104378579 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

MRS. JULIE M STOLL LCSW

Social Worker

(Clinical)

705 E LINCOLN ST
SUITE 302
NORMAL, IL
ZIP 61761

(309) 212-3606

LAURA JENNINGS-MITCHELL LCSW

Social Worker

(Clinical)

705 E LINCOLN ST
STE 303
NORMAL, IL
ZIP 61761

(309) 451-9495

LYNN WILLARD LCPC, LCSW

Social Worker

(Clinical)

705 E LINCOLN ST
STE 303
NORMAL, IL
ZIP 61761

(309) 451-9495

MR. THOMAS ELLSWORTH JENKINS MA, LPC

Counselor

(Professional)

705 E LINCOLN ST
NORMAL, IL
ZIP 61761

(309) 451-9495

INDEA POWE

Counselor

(Mental Health)

705 E LINCOLN ST
NORMAL, IL
ZIP 61761

(309) 240-6473

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104378579, enumerated as an "organization" on November 01, 2016.

The provider is located at 705 E LINCOLN ST SUITE 204 NORMAL, IL 61761 and the phone number is (309) 808-1017.

Community/Behavioral Health with taxonomy code 251S00000X.