SOUTH EASTERN ILLINOIS COUNSELING CENTER INC (NPI# 1245418128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245418128 |
| Entity Type | Organization |
| Organization Name | SOUTH EASTERN ILLINOIS COUNSELING CENTER INC |
| Other Organization Name | JASPER FAMILY COUNSELING CENTER |
| Practice Address |
902 W Jourdan St Newton IL 62448-1062 |
| Mailing Address |
Po Box M Olney IL 62450-0913 |
| Practice Telephone | 6187838615 |
| Practice Fax Number | 6187834174 |
| Mailing Telephone | 6183954306 |
| Mailing Fax Number | 6183954507 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2009-07-23 |
| 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 | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| JASPER 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 |
| 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 |
| 1235317116 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 1501 Olive St, Lawrenceville, IL 62439-2269 | 2008-02-04 |
| Street Address |
902 W JOURDAN ST |
| City | NEWTON |
| State | IL |
| Zip Code | 62448-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386831311 | Juanita Suro | Counselor | 902 W Jourdan St, Newton, IL 62448-1062 | 2007-10-03 |
| 1841469491 | S E Illinois Counseling Ctrs Inc. | Community/Behavioral Health | 902 W Jourdan St, Newton, IL 62448-1062 | 2008-02-28 |
| 1023206083 | Roberta J Bruner | Counselor | 902 W Jourdan St, Newton, IL 62448-1062 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285114025 | Jennifer Eaton | Speech-Language Pathologist | 100 E. Maxwell St., Newton, IL 62448 | 2018-08-21 |
| 1962918169 | Erica Rose Schumacher | Speech-Language Pathologist | 100 E Maxwell St, Newton, IL 62448 | 2017-12-26 |
| 1063506772 | Jasper County Comm Unit Dist 1 | Local Education Agency (LEA) | 609 S Lafayette, Newton, IL 62448 | 2006-10-03 |
| 1467462788 | Jeanine Marie Fell | Dentist | 605 South Vanburen, Newton, IL 62448 | 2006-08-09 |
| 1639635972 | Tammy Andes | Registered Nurse | 601 W Washington St Ste 1, Newton, IL 62448 | 2019-02-12 |
| 1124535737 | Lori Smith | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-04 |
| 1083121867 | Mandy Rieman | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1376050153 | Sandra Zumbahlen | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1699282467 | Christy Gentry | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
| 1669989448 | Ashley Zumbahlen | Registered Nurse | 106 East Edwards, Newton, IL 62448 | 2018-01-03 |
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| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346693223 | Jasper County Health Department | Clinic/Center | 106 Edwards St, Newton, IL 62448-1736 | 2016-07-15 |
| 1629468004 | Summit At Newton, LLC | Clinic/Center | 83 Spring St, Suite 101, Newton, NJ 07860-2080 | 2015-01-23 |
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| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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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.