EVERGREEN COACHING AND COUNSELING, INC.
NPI 1649743360
Psychologist - Clinical in Champaign, IL

Active since January 04, 2019
411 E PARK ST STE 106, CHAMPAIGN, IL 61820(217) 714-7042(866) 216-6514 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Jan 4, 2019 (2 updates tracked since 2019).

About Evergreen Coaching And Counseling, Inc. NPPES

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

EVERGREEN COACHING AND COUNSELING, INC. (NPI 1649743360) is a healthcare organization registered as a clinical in Champaign, Illinois and active in the NPI registry since January 2019. The organization maintains 6 additional practice locations and lists Brittney Homann, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649743360
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEVERGREEN COACHING AND COUNSELING, INC.
Location Address411 E PARK ST STE 106Champaign, IL 61820-3862
Mailing Address411 E Park St Ste 106Champaign, IL 61820-3862 · (217) 714-7042 · Fax (855) 216-6514
Fax(866) 216-6514
Organization SubpartNo
Authorized OfficialBrittney HomannCeo · (217) 714-7420
Enumeration DateJanuary 4, 2019
Last NPPES UpdateJune 12, 20262 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
NPI 1649743360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
411 E PARK ST STE 106, Champaign, IL 61820

Secondary Practice Locations 6

Location 14900 N Glen Park Place Rd Ste BPeoria, IL 61614-4685 · Phone (217) 714-7042 · Fax (855) 216-6514
Location 2919 W Kirby Ave Ste 1EChampaign, IL 61821-5123 · Phone (217) 714-7042 · Fax (855) 216-6514
Location 32201 Eastland Dr Ste 4Bloomington, IL 61704-7923 · Phone (217) 714-7042 · Fax (855) 216-6514
Location 42206 Eastland Dr Ste 101Bloomington, IL 61704-7742 · Phone (217) 714-7042 · Fax (855) 216-6514
Location 53001 Spring Mill Dr Ste FSpringfield, IL 62704-6599 · Phone (217) 714-7042 · Fax (855) 216-6514
Location 6913 Lake Land BlvdMattoon, IL 61938-5521 · Phone (217) 714-7042 · Fax (855) 216-6514

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

Accepted Insurance

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.

Social Worker
411 E PARK ST STE 106
CHAMPAIGN, IL 61820
Counselor
411 E PARK ST STE 106
CHAMPAIGN, IL 61820
Counselor (Mental Health)
411 E PARK ST STE 106
CHAMPAIGN, IL 61820
Social Worker
411 E PARK ST STE 106
CHAMPAIGN, IL 61820
Counselor
411 E PARK ST STE 106
CHAMPAIGN, IL 61820
Social Worker (Clinical)
411 E PARK ST STE 106
CHAMPAIGN, IL 61820
Social Worker (Clinical)
411 E PARK ST STE 106
CHAMPAIGN, IL 61820
Clinic/Center (Adult Mental Health)
411 E PARK ST STE 106
CHAMPAIGN, IL 61820

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 Evergreen Coaching And Counseling, Inc.'s NPI number?

The NPI number for Evergreen Coaching And Counseling, Inc. is 1649743360. It was assigned to this organization in the NPPES registry on January 4, 2019.

Where is Evergreen Coaching And Counseling, Inc. located?

Evergreen Coaching And Counseling, Inc. is located at 411 E Park St Ste 106, Champaign, IL 61820. The listed phone number is (217) 714-7042.

What is Evergreen Coaching And Counseling, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Evergreen Coaching And Counseling, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Evergreen Coaching And Counseling, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Coaching And Counseling, Inc. was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 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.