SOUTH EASTERN ILLINOIS COUNSELING CENTER INC - NPI 1336137199

Q: What is South Eastern Illinois Counseling Center Inc's specialty?

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

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About South Eastern Illinois Counseling Center Inc NPPES

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

SOUTH EASTERN ILLINOIS COUNSELING CENTER INC (NPI 1336137199) is a healthcare organization registered as an addiction (substance use disorder) in Olney, Illinois and active in the NPI registry since October 2005. The organization lists Glenn Jackson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336137199

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameSOUTH EASTERN ILLINOIS COUNSELING CENTER INC

Location Address504 MICAH DRIVE, DRAWER MOlney, IL 62450

Mailing AddressPo Box M, 504 Micah DriveOlney, IL 62450-0913 · (618) 395-4306 · Fax (618) 395-4507

Phone(618) 395-4306

Fax(618) 395-4507

Organization SubpartNo

Authorized OfficialGlenn JacksonExecutive Director · (618) 395-4309

Enumeration DateOctober 6, 2005

Last NPPES UpdateMay 5, 2016

✔ NPI 1336137199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

504 MICAH DRIVE, Olney, IL 62450

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Other Identifiers 18

Medicaid036072942IL

Medicaid=========002IL

Medicaid=========001IL

Medicaid=========022IL

Medicaid=========034IL

Medicaid=========035IL

Medicaid=========036IL

Medicaid036037359IL

Medicaid=========004IL

Medicaid=========023IL

Medicaid343700207IL

Medicaid=========003IL

Medicaid=========009IL

Medicare PINIL2222IL

Medicaid=========008IL

Medicaid=========017IL

Medicaid=========020IL

Medicaid=========037IL

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

Other Providers at the Same Location NPPES 9

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

MRS. DONNA GREENWOOD LCPC

Counselor (Mental Health)

504 MICAH DRIVE, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

MR. JASON POTTS

Counselor (Addiction (Substance Use Disorder))

504 MICAH DRIVE, BOX DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

MRS. RENEE PATTERSON

Counselor (Mental Health)

504 MICAH DRIVE, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

MRS. REBECCA WILBORN-READY AAS

Counselor (Mental Health)

504 MICAH DRIVE, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

MRS. MEGAN EAGLESON BA

Counselor (Mental Health)

504 MICAH DRIVE, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

MR. DAVID JUDY LCPC

Counselor (Mental Health)

504 MICAH DRIVE, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

SOUTH EASTERN ILLINOIS COUNSELING CENTER INC

Counselor (Mental Health)

504 MICAH DRIVE
OLNEY, IL 62450

Richland County (618) 395-4306

MISS MELODY FORE

Counselor (Mental Health)

504 MICAH DRIVE, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

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 South Eastern Illinois Counseling Center Inc's NPI number?

The NPI number for South Eastern Illinois Counseling Center Inc is 1336137199. It was assigned to this organization in the NPPES registry on October 6, 2005.

Where is South Eastern Illinois Counseling Center Inc located?

South Eastern Illinois Counseling Center Inc is located at 504 Micah Drive Drawer M, Olney, IL 62450. The listed phone number is (618) 395-4306.

What is South Eastern Illinois Counseling Center Inc'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 South Eastern Illinois Counseling Center Inc 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.