CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL (NPI# 1053450601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053450601 |
| Entity Type | Organization |
| Organization Name | CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL |
| Practice Address |
635 Division St Fl 1 Charleston IL 61920-1902 |
| Mailing Address |
635 Division St Fl 1 P.o. Box 532 Charleston IL 61920-1902 |
| Practice Telephone | 2173488108 |
| Practice Fax Number | 2173456794 |
| Mailing Telephone | 2173488108 |
| Mailing Fax Number | 2173456794 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | TERESSA M. PERDIEU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2173488108 |
| Authorized Official Credential | MA CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0631-0009-A | IL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CA-0631-0009-A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780061143 | Central East Alcoholism and Drug Council | Clinic/Center | 513 N 13th St, Mattoon, IL 61938-3035 | 2015-05-05 |
| 1629455019 | Central East Alcoholism and Drug Council | Clinic/Center | 155 S Morgan St, Shelbyville, IL 62565-2241 | 2015-05-05 |
| 1649657180 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 1501 1/2 18th St, Charleston, IL 61920-3603 | 2015-05-05 |
| 1801273297 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 635 Division St Fl 2, Charleston, IL 61920-1902 | 2015-05-05 |
| 1174900567 | Central East Alcoholism and Drug Council | Clinic/Center | 635 Division St Fl 3, Charleston, IL 61920-1902 | 2015-05-05 |
| 1508243361 | Central East Alcoholism and Drug Council | Clinic/Center | 416 N 19th St, Mattoon, IL 61938-2842 | 2015-04-30 |
| 1225415342 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 8500 E County Road 150n, Lerna, IL 62440-2521 | 2015-04-27 |
| 1558748947 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 720 4th St, Charleston, IL 61920-1923 | 2015-05-05 |
| 1659758043 | Central East Alcoholism and Drug Council | Clinic/Center | 726 4th St, Charleston, IL 61920-1923 | 2015-05-05 |
| Street Address |
635 DIVISION ST FL 1 |
| City | CHARLESTON |
| State | IL |
| Zip Code | 61920-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643879 | Jenna Kay Mortensen | Speech-Language Pathologist | 2086 7th Street, Charleston, IL 61920 | 2020-06-09 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1679066773 | Jennifer Hess | Specialist/Technologist | 2506 Lantz Building, Charleston, IL 61920 | 2018-06-13 |
| 1134647969 | Nichole C Ogilvie | Student in an Organized Health Care Education/Training Program | 917 4th Street Apt 19, Charleston, IL 61920 | 2017-08-31 |
| 1467970319 | Marcus Roach | Physical Therapy Assistant | 912 Oakcrest Dr. Apt D, Charleston, IL 61920 | 2017-08-30 |
| 1114478500 | 5 Guys Rx II LLC | Pharmacy | 1 W Lincoln Ave, Charleston, IL 61920 | 2016-10-20 |
| 1649723206 | Bright Minds Educational Program Inc | Developmental Therapist | 7704 Deerpath Road, Charleston, IL 61920 | 2016-08-01 |
| 1760843379 | Lisa Price | Nurse Practitioner | 2040 Lincoln Ave, Suite 100, Charleston, IL 61920 | 2016-03-09 |
| 1104243385 | Nathan David Schwartzkopf | Specialist/Technologist | 1340 A Street, Charleston, IL 61920 | 2014-03-25 |
| 1558694349 | Emily Schilling | Specialist/Technologist | 2350 Harrison Avenue, Charelston, IL 61920 | 2009-09-10 |
| Find all providers in zip 61920 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649657180 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 1501 1/2 18th St, Charleston, IL 61920-3603 | 2015-05-05 |
| 1801273297 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 635 Division St Fl 2, Charleston, IL 61920-1902 | 2015-05-05 |
| 1861496234 | Department of Alcohol and Other Drug Abuse Services | Substance Abuse Rehabilitation Facility | 5 Charleston Center Dr, Charleston, SC 29401-1162 | 2005-06-13 |
| 1558748947 | Central East Alcoholism and Drug Council | Substance Abuse Rehabilitation Facility | 720 4th St, Charleston, IL 61920-1923 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
| 1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
| 1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 61920 |
Please comment or provide details below to improve the information on CENTRAL EAST ALCOHOLISM AND DRUG COUNCIL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.