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SERTOMA STAR SERVICES, INC.
NPI 1629830815
Clinic/Center - Mental Health (Including Community Mental Health Center) in Matteson, IL

Active since January 24, 2024
4331 LINCOLN HWY, MATTESON, IL 60443(708) 755-8030 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sertoma Star Services, Inc. NPPES

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

SERTOMA STAR SERVICES, INC. (NPI 1629830815) is a healthcare organization registered as a mental health (including community mental health center) in Matteson, Illinois and active in the NPI registry since January 2024. The organization lists Gus Van Den Brink, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629830815
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSERTOMA STAR SERVICES, INC.
Location Address4331 LINCOLN HWYMatteson, IL 60443-2404
Mailing Address1005 W End AveChicago Heights, IL 60411-2742
Phone(708) 755-8030
Organization SubpartNo
Authorized OfficialGus Van Den BrinkPresident/ceo · (708) 730-6216
Enumeration DateJanuary 24, 2024
Last NPPES UpdateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1629830815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
4331 LINCOLN HWY, Matteson, IL 60443
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Other Providers at the Same Location NPPES 20

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

SERTOMA CENTRE, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4331 LINCOLN HWY, SUITE A
MATTESON, IL 60443
Cook County (708) 748-1951
TRINITY MARIE SHARP
Counselor (Mental Health)
4331 LINCOLN HWY
MATTESON, IL 60443
Cook County (708) 748-1951
CANDICE RENEE JOSEPH
Counselor
4331 LINCOLN HWY
MATTESON, IL 60443
Cook County (708) 748-1951
ANNA WAGNER OTD, OTR/L
Occupational Therapist
4331 LINCOLN HWY
MATTESON, IL 60443
Cook County (708) 351-3943
ALICIA JOCELYN SIMMONS LCPC
Counselor (Professional)
4331 LINCOLN HWY
MATTESON, IL 60443
Cook County (708) 748-1951
SABRINA ANGELICA HERNANDEZ
Counselor (Mental Health)
4331 LINCOLN HWY
MATTESON, IL 60443
Cook County (708) 748-1951
ADRIENNE LAMBERT
Counselor (Professional)
4331 LINCOLN HWY
MATTESON, IL 60443
Cook County (708) 748-1951
MARY K AITCHISON LCPC
Counselor (Professional)
4331 LINCOLN HWY
MATTESON, IL 60443
Cook County (708) 748-1951

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 Sertoma Star Services, Inc.'s NPI number?

The NPI number for Sertoma Star Services, Inc. is 1629830815. It was assigned to this organization in the NPPES registry on January 24, 2024.

Where is Sertoma Star Services, Inc. located?

Sertoma Star Services, Inc. is located at 4331 Lincoln Hwy, Matteson, IL 60443. The listed phone number is (708) 755-8030.

What is Sertoma Star Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Sertoma Star Services, Inc. was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.