EVERGREEN COACHING AND COUNSELING, INC.
NPI 1649743360
Psychologist - Clinical in Champaign, IL
NPI Status: Active since January 04, 2019
Contact Information
411 E PARK ST STE 106
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 714-7042
Fax: (866) 216-6514
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Psychologist
- Clinical
- Accepts Insurance
About EVERGREEN COACHING AND COUNSELING, INC.
This page provides the complete NPI Profile along with additional information for Evergreen Coaching And Counseling, Inc., a provider established in Champaign, Illinois operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1649743360 assigned on January 2019. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated June 2026. Evergreen Coaching And Counseling, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brittney Homann Msw, Lcsw (Ceo)
- NPI
- 1649743360
- Provider Name
- EVERGREEN COACHING AND COUNSELING, INC.
- Entity Type
- Organization
- Location Address
- 411 E PARK ST STE 106 CHAMPAIGN, IL 61820
- Location Phone
- (217) 714-7042
- Location Fax
- (866) 216-6514
- Mailing Address
- 411 E PARK ST STE 106 CHAMPAIGN, IL 61820
- Mailing Phone
- (217) 714-7042
- Mailing Fax
- (866) 216-6514
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-04-2019
- Last Update Date
- 06-12-2026
- Code Navigator
A clinical psychologist like Evergreen Coaching And Counseling, Inc. assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Secondary Locations
- 2201 Eastland Dr Ste 4
Bloomington, IL 61704
(217) 714-7042 - 2206 Eastland Dr Ste 101
Bloomington, IL 61704
(217) 714-7042 - 3001 Spring Mill Dr Ste F
Springfield, IL 62704
(217) 714-7042 - 4900 N Glen Park Place Rd Ste B
Peoria, IL 61614
(217) 714-7042 - 919 W Kirby Ave Ste 1E
Champaign, IL 61821
(217) 714-7042 - 913 Lake Land Blvd
Mattoon, IL 61938
(217) 714-7042
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
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 5 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1649743360, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHAMPAIGN, IL 61820
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649743360, enumerated as an "organization" on January 04, 2019.
The provider is located at 411 E PARK ST STE 106 CHAMPAIGN, IL 61820 and the phone number is (217) 714-7042.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.