KOLLEEN A ANTONACCI LCPC
NPI 1730513409
Counselor - Addiction (Substance Use Disorder) in Carbondale, IL

Q: What is Kolleen Antonacci's NPI number?

The NPI number for Kolleen Antonacci is 1730513409. It was assigned to this individual provider in the NPPES registry on August 29, 2013. The provider is also known as Colleen A Kennedy.

Q: What is Kolleen Antonacci's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kolleen Antonacci was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 29, 2013

2015 W MAIN ST, SUITE 103, CARBONDALE, IL 62901(618) 457-4044(618) 529-3834 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kolleen A Antonacci Lcpc NPPES

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

KOLLEEN A ANTONACCI LCPC (NPI 1730513409) is an individual addiction (substance use disorder) provider in Carbondale, Illinois, licensed in Illinois (CADC 2699) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1730513409

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKOLLEEN A ANTONACCICredential: LCPC

Location Address2015 W MAIN ST, SUITE 103Carbondale, IL 62901-2073

Mailing Address2015 W Main St, Suite 103Carbondale, IL 62901-2073 · (618) 457-4044 · Fax (618) 529-3834

Phone(618) 457-4044

Fax(618) 529-3834

Sole ProprietorYes

Enumeration DateAugust 29, 2013

✔ NPI 1730513409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IL · CADC 2699

Also ListedCounselorTaxonomy 101Y00000X · License 180.008168 (IL)

2015 W MAIN ST, Carbondale, IL 62901

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Other Names 1

Other Name (5)Colleen A Kennedy

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 Kolleen Antonacci's NPI number?

The NPI number for Kolleen Antonacci is 1730513409. It was assigned to this individual provider in the NPPES registry on August 29, 2013. The provider is also known as Colleen A Kennedy.

Where is Kolleen Antonacci located?

Kolleen Antonacci practices at 2015 W Main St Suite 103, Carbondale, IL 62901. The listed phone number is (618) 457-4044.

What is Kolleen Antonacci's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kolleen Antonacci was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.