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CAMELOT CARE CENTERS, LLC
NPI 1700149051
Clinic/Center - Adolescent and Children Mental Health in Peoria, IL

Active since June 21, 2012
2396 W NEBRASKA AVE, PEORIA, IL 61604(309) 676-6305(309) 676-6519 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 4, 2020, Aug 27, 2019 (2 updates tracked since 2019).

About Camelot Care Centers, Llc NPPES

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

CAMELOT CARE CENTERS, LLC (NPI 1700149051) is a healthcare organization registered as an adolescent and children mental health in Peoria, Illinois and active in the NPI registry since June 2012. The organization lists Ronica Patel, State Executive Director, as its authorized official.

NPPES Registry Identity

NPI1700149051
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCAMELOT CARE CENTERS, LLC
Location Address2396 W NEBRASKA AVEPeoria, IL 61604-3111
Mailing Address2396 W Nebraska AvePeoria, IL 61604-3111 · (309) 676-6305 · Fax (309) 676-6519
Phone(309) 676-6305
Fax(309) 676-6519
Organization SubpartYesParent: Pathways Health And Community Support, Llc.
Authorized OfficialRonica PatelState Executive Director · (630) 773-1985
Enumeration DateJune 21, 2012
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1700149051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2396 W NEBRASKA AVE, Peoria, IL 61604
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Other Identifiers 1

Medicaid2B05-IPI-141IL

Other Providers at the Same Location NPPES 4

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

MRS. CARRIE ANN REINBOLDT LCPC
Counselor (Professional)
2396 W NEBRASKA AVE
PEORIA, IL 61604
Peoria County (309) 676-6305
ANGELA ZUMBEK MA, LCPC
Counselor (Professional)
2396 W NEBRASKA AVE
PEORIA, IL 61604
Peoria County (309) 676-6305
JACOB DONLEY
Counselor (Mental Health)
2396 W NEBRASKA AVE
PEORIA, IL 61604
Peoria County (309) 676-6305
MISS STEPHANIE HUNSICKER MS
Counselor (Mental Health)
2396 W NEBRASKA AVE
PEORIA, IL 61604
Peoria County (309) 676-6305

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 Camelot Care Centers, LLC's NPI number?

The NPI number for Camelot Care Centers, LLC is 1700149051. It was assigned to this organization in the NPPES registry on June 21, 2012.

Where is Camelot Care Centers, LLC located?

Camelot Care Centers, LLC is located at 2396 W Nebraska Ave, Peoria, IL 61604. The listed phone number is (309) 676-6305.

What is Camelot Care Centers, LLC'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 Camelot Care Centers, LLC was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.