CIERRA SOUTHWORTH
NPI 1528786266
Counselor - Mental Health in Machesney Park, IL

Active since August 18, 2022
1205 W LANE RD, MACHESNEY PARK, IL 61115(815) 469-1500 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2026, Nov 14, 2025, Aug 18, 2022 (3 updates tracked since 2022).

About Cierra Southworth NPPES

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

CIERRA SOUTHWORTH (NPI 1528786266) is an individual mental health provider in Machesney Park, Illinois, licensed in Illinois (180.017887) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1528786266
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCIERRA SOUTHWORTH
Location Address1205 W LANE RDMachesney Park, IL 61115-1625
Mailing Address1205 W Lane RdMachesney Park, IL 61115-1625 · (815) 469-1500
Sole ProprietorNo
Enumeration DateAugust 18, 2022
Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1528786266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.017887
1205 W LANE RD, Machesney Park, IL 61115

Reviews for CIERRA SOUTHWORTH

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Other Providers at the Same Location


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

Behavior Analyst
1205 W LANE RD
MACHESNEY PARK, IL 61115
Occupational Therapist
1205 W LANE RD
MACHESNEY PARK, IL 61115
Behavior Analyst
1205 W LANE RD
MACHESNEY PARK, IL 61115
Social Worker (Clinical)
1205 W LANE RD
MACHESNEY PARK, IL 61115
Counselor (Professional)
1205 W LANE RD
MACHESNEY PARK, IL 61115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528786266, enumerated as an "individual" on August 18, 2022.

The provider is located at 1205 W LANE RD MACHESNEY PARK, IL 61115 and the phone number is (815) 469-1500.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.