HUMAN SERVICE CENTER OF SOUTHERN METRO EAST (NPI# 1134199037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134199037 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER OF SOUTHERN METRO EAST |
| Practice Address |
10257 State Route 3 Red Bud IL 62278-4418 |
| Practice Telephone | 6182826233 |
| Practice Fax Number | 6182826949 |
| Mailing Telephone | 6182826233 |
| Mailing Fax Number | 6182826949 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | KENDRA KENNEDY (CLINICIAL DIRECTOR) |
| Authorized Official Telephone | 6182826233 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659733699 | Human Service Center of Southern Metro East | Clinic/Center | 109 W Mill Street, Okawville, IL 62271-4418 | 2016-03-28 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356563563 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62233 | 2007-05-03 |
| 1679795157 | Human Service Center of Southern Metro East | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-03 |
| 1497968093 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Rd, Sparta, IL 62286 | 2007-05-08 |
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| Street Address |
10257 STATE ROUTE 3 |
| City | RED BUD |
| State | IL |
| Zip Code | 62278-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565595 | Dionne Gerfen | Counselor | 10257 State Route 3, Red Bud, IL 62278-4418 | 2019-12-16 |
| 1952806119 | Lanetta Lynn Adams | Counselor | 10257 State Route 3, Red Bud, IL 62278-4418 | 2018-03-28 |
| 1033520457 | Jody Lurk | Counselor | 10257 State Route 3, Red Bud, IL 62278-4418 | 2014-05-20 |
| 1952725780 | Human Service Center of Southern Metro-east | Community/Behavioral Health | 10257 State Route 3, Red Bud, IL 62278-4418 | 2014-02-14 |
| 1538428792 | Kristin Lynn Wolter | Counselor | 10257 State Route 3, Red Bud, IL 62278-4418 | 2012-05-09 |
| 1881973238 | Human Service Center | Clinic/Center | 10257 State Route 3, Red Bud, IL 62278-4418 | 2011-08-16 |
| 1295058238 | Dana Barrows | Counselor | 10257 State Route 3, Red Bud, IL 62278-4418 | 2010-03-04 |
| 1245477926 | Human Service Center S Metro - Bldg B | Day Training, Developmentally Disabled Services | 10257 State Route 3, Red Bud, IL 62278-4418 | 2009-01-16 |
| 1215174982 | Human Service Center S Metro - Bldg C | Clinic/Center | 10257 State Route 3, Red Bud, IL 62278-4418 | 2009-01-16 |
| 1851514509 | Rajendra Gupta | Psychiatry & Neurology | 10257 State Route 3, Red Bud, IL 62278-4418 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852028 | Margret De Jesus De Guzman | Surgery | Red Bud Illinois Hospital Comany LLC, 325 Spring St, Red Bud, IL 62278 | 2011-03-22 |
| 1952595878 | Clarkson Optometry Illinois PC | Optometrist | 210 S Main, Red Bud, IL 62278 | 2007-09-04 |
| 1679795157 | Human Service Center of Southern Metro East | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-03 |
| 1508980798 | Quentin Thomas Stenzel | Chiropractor | 204 W. Market, Red Bud, IL 62278 | 2007-03-16 |
| 1306905054 | Jennifer Ranee Dewilde | Chiropractor | 930 West Market, Suite 1, Red Bud, IL 62278 | 2006-12-08 |
| 1588147623 | Thomas Michael Castilaw | Nurse Practitioner | 325 Spring St, Red Bud, IL 62278 | 2018-09-14 |
| 1336353523 | Human Service Center | Private Vehicle | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-09 |
| 1093928111 | Human Service Center | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-07 |
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| 1417960121 | Tina Renee Stulce | Dentist | 307 S Main St, Red Bud, IL 62278 | 2006-08-14 |
| Find all providers in zip 62278 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245477926 | Human Service Center S Metro - Bldg B | Day Training, Developmentally Disabled Services | 10257 State Route 3, Red Bud, IL 62278-4418 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515665 | People Overcoming With Everlasting Results, Inc. | Day Training, Developmentally Disabled Services | 6400 W Main St Ste 1f-3, Belleville, IL 62223-3806 | 2019-12-19 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1215424460 | Victor C. Neumann Association | Day Training, Developmentally Disabled Services | 4434 W Diversey Ave, Chicago, IL 60639-1939 | 2018-04-13 |
| 1194212399 | Victor C Neumann Association | Day Training, Developmentally Disabled Services | 4122 N Nashville Ave, Chicago, IL 60634-1429 | 2018-04-13 |
| 1952825770 | Help At Home, LLC | Day Training, Developmentally Disabled Services | 1 N State St Ste 800, Chicago, IL 60602-3312 | 2017-08-02 |
| 1316478878 | Kathryn Elaine Miller Rose | Day Training, Developmentally Disabled Services | 1207 Lakeside Ln, Mahomet, IL 61853-9767 | 2017-03-25 |
| 1063943645 | Lf Walls Corp | Day Training, Developmentally Disabled Services | 1404 Fox Hound Trl, Beecher, IL 60401-5106 | 2017-03-24 |
| 1285186254 | Dorr-wood Ltd | Day Training, Developmentally Disabled Services | 1001 Rail Dr, Woodstock, IL 60098-9411 | 2016-10-26 |
| 1558818930 | Autismchicago | Day Training, Developmentally Disabled Services | 8035 S Wabash Ave, Chicago, IL 60619-3516 | 2016-09-02 |
| 1518411594 | Transitions of Western Illinois | Day Training, Developmentally Disabled Services | 631 N 48th St, Quincy, IL 62305-7918 | 2016-08-08 |
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| 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.