SOUTH EASTERN ILLINOIS COUNSELING CENTER INC (NPI# 1235317116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235317116 |
| Entity Type | Organization |
| Organization Name | SOUTH EASTERN ILLINOIS COUNSELING CENTER INC |
| Other Organization Name | LAWRENCE FAMILY COUNSELING CENTER |
| Practice Address |
1501 Olive St Lawrenceville IL 62439-2269 |
| Mailing Address |
Po Box M Olney IL 62450-0913 |
| Practice Telephone | 6189433451 |
| Practice Fax Number | 6189434368 |
| Mailing Telephone | 6183954306 |
| Mailing Fax Number | 6183954507 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | MR. GLENN JACKSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6183954309 |
| Authorized Official Credential | M. DIV., LSW, LC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| LAWRENCE FAMILY COUNSELING CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700064268 | South Eastern Illinois Counseling Center Inc | Case Management | 204a W. Highland, Robinson, IL 62454 | 2008-02-07 |
| 1952589830 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2008-02-04 |
| 1649458522 | South Eastern Illinois Counseling Center Inc | Case Management | 515 W Saint John St, Olney, IL 62450-1426 | 2008-02-04 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| 1710165279 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 504 Micah Drive, Olney, IL 62450-0913 | 2008-02-07 |
| 1982882866 | South Eastern Illinois Counseling Center Inc | Counselor | 254 S 5th St, Albion, IL 62806-1121 | 2008-02-04 |
| 1891973772 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 204 W Highland Ave, Robinson, IL 62454-1710 | 2008-02-04 |
| 1245418128 | South Eastern Illinois Counseling Center Inc | Counselor | 902 W Jourdan St, Newton, IL 62448-1062 | 2008-02-04 |
| 1407034382 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 602 E 5th St, Mount Carmel, IL 62863-2152 | 2008-02-04 |
| 1003094988 | South Eastern Illinois Counseling Center Inc | Case Management | 118 W North Ave, Flora, IL 62839-1612 | 2008-02-04 |
| Street Address |
1501 OLIVE ST |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427245562 | Judy Hutchinson | Counselor | 1501 Olive St, Lawrenceville, IL 62439-2269 | 2007-10-03 |
| 1033612056 | Carrie Parker | Counselor | 1501 Olive St, Lawrenceville, IL 62439-2269 | 2018-03-15 |
| 1568746832 | Rebekkah L Hixon | Counselor | 1501 Olive St, Lawrenceville, IL 62439-2269 | 2011-10-05 |
| 1942479597 | S E Illinois Counseling Ctrs Inc. | Community/Behavioral Health | 1501 Olive St, Lawrenceville, IL 62439-2269 | 2008-02-28 |
| 1053509026 | Heather Blasingame | Counselor | 1501 Olive St, Lawrenceville, IL 62439-2269 | 2007-10-04 |
| 1275720203 | Michael Lammert | Counselor | 1501 Olive St, Lawrenceville, IL 62439-2269 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735202 | Lighthouse Family Service Center | Counselor | 150 Stanley Ct Ste B, Lawrenceville, GA 30046-5215 | 2020-09-23 |
| 1285248005 | Laura Meeks | Counselor | 1929 Whitehawk Ct, Lawrenceville, GA 30043-6641 | 2020-08-31 |
| 1184237125 | Luz Melania Soto Garcia | Counselor | 760 Longleaf Blvd Ste A, Lawrenceville, GA 30046-8458 | 2020-08-28 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1366001695 | Holton Ariel Daniel | Counselor | 233 N Main St Ste B, Lawrenceville, VA 23868-1807 | 2019-06-11 |
| 1326603119 | Easter's Family Services | Counselor | 102 E Hicks St Ste 303, Lawrenceville, VA 23868-1830 | 2019-05-07 |
| 1023577053 | Brittany Williams | Counselor | 175 Gwinnet Drive, Lawrenceville, GA 30046-8444 | 2019-03-19 |
| 1699230052 | Josephine Lola Banjoko | Counselor | 1402 Park Hollow Ln, Lawrenceville, GA 30043-3878 | 2019-02-09 |
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1902376551 | Lekicha Monique Cabiness | Counselor | 102 Hicks St. Suite 303, Lawrenceville, VA 23868 | 2018-11-27 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
Please comment or provide details below to improve the information on SOUTH EASTERN ILLINOIS COUNSELING CENTER INC.
| 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.