1. Home
  2. Directory
  3. Illinois
  4. Carbondale
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAINBOW CAFE LGBTQ CENTER
NPI 1457033763
Clinic/Center - Adolescent and Children Mental Health in Carbondale, IL

Active since August 04, 2023
120 N ILLINOIS AVE, CARBONDALE, IL 62901(618) 525-9922 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Jan 28, 2026, Nov 5, 2024 (3 updates tracked since 2024).

About Rainbow Cafe Lgbtq Center NPPES

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

RAINBOW CAFE LGBTQ CENTER (NPI 1457033763) is a healthcare organization registered as an adolescent and children mental health in Carbondale, Illinois and active in the NPI registry since August 2023. The organization lists Alexander R Socorro, Director, as its authorized official.

NPPES Registry Identity

NPI1457033763
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameRAINBOW CAFE LGBTQ CENTER
Location Address120 N ILLINOIS AVECarbondale, IL 62901-1450
Mailing Address118 N Illinois AveCarbondale, IL 62901-1450 · (618) 525-9922
Phone(618) 525-9922
Organization SubpartNo
Authorized OfficialAlexander R SocorroDirector · (618) 525-9922
Enumeration DateAugust 4, 2023
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1457033763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
120 N ILLINOIS AVE, Carbondale, IL 62901
Open in Google Maps ↗

Other Identifiers 1

MedicaidBHC-2427502IL

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 2

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

ALEXANDER R SOCORRO MA, CPT, RSS, CHW
Technician, Pathology (Phlebotomy)
120 N ILLINOIS AVE
CARBONDALE, IL 62901
Jackson County (618) 914-7249
DR. SYLVIA F GARWIN M.D.
Obstetrics & Gynecology (Gynecology)
120 N ILLINOIS AVE
CARBONDALE, IL 62901
Jackson County (618) 529-5611

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 Rainbow Cafe Lgbtq Center's NPI number?

The NPI number for Rainbow Cafe Lgbtq Center is 1457033763. It was assigned to this organization in the NPPES registry on August 4, 2023.

Where is Rainbow Cafe Lgbtq Center located?

Rainbow Cafe Lgbtq Center is located at 120 N Illinois Ave, Carbondale, IL 62901. The listed phone number is (618) 525-9922.

What is Rainbow Cafe Lgbtq Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Rainbow Cafe Lgbtq Center was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.