CENTERSTONE OF ILLINOIS, INC (NPI# 1316282007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316282007 |
| Entity Type | Organization |
| Organization Name | CENTERSTONE OF ILLINOIS, INC |
| Practice Address |
200 N Emerald Ln Carbondale IL 62901-2159 |
| Mailing Address |
902 W Main St West Frankfort IL 62896-2210 |
| Practice Telephone | 6189376483 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | STACY DENISE PHILLIPS (BILING DEPARTMENT MANAGER) |
| Authorized Official Telephone | 6189376483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1033516950 | Centerstone of Illinois, Inc | Community Based Residential Treatment Facility, Mental Illness | 2411 S Illinois Ave, Carbondale, IL 62903-5913 | 2014-11-20 |
| 1316284516 | Centerstone of Illinois, Inc | Community/Behavioral Health | 403 Municipal Dr, Carterville, IL 62918-2042 | 2013-01-08 |
| 1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
| 1497064208 | Centerstone of Illinois, Inc | Community/Behavioral Health | 221 E County Rd, Jerseyville, IL 62052-3190 | 2010-09-28 |
| 1861700585 | Centerstone of Illinois, Inc | Community/Behavioral Health | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2010-09-15 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1386899383 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2302 State St, Alton, IL 62002-4379 | 2008-11-19 |
| 1902051915 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2123 Holland St, Alton, IL 62002-3339 | 2008-11-19 |
| 1265686307 | Centerstone of Illinois, Inc | Community/Behavioral Health | 515 Niagara Street, East Alton, IL 62024-1087 | 2008-11-14 |
| Street Address |
200 N EMERALD LN |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588630594 | Donald L Howard | Physical Therapy Assistant | 200 N Emerald Ln, Suite 1a, Carbondale, IL 62901-2100 | 2006-02-28 |
| 1225648652 | Trisha Fuller | Counselor | 200 N Emerald Ln, Carbondale, IL 62901-2159 | 2020-07-31 |
| 1043829450 | Chelsea Oschs | Counselor | 200 N Emerald Ln, Carbondale, IL 62901-2159 | 2020-07-31 |
| 1427667161 | Brandy Moore | Counselor | 200 N Emerald Ln, Carbondale, IL 62901-2159 | 2020-07-29 |
| 1861602617 | Thomas Steven Portner | Physical Therapist | 200 N Emerald Ln, 1a, Carbondale, IL 62901-2100 | 2007-05-23 |
| 1265558449 | Claire Michele Shelton | Physical Therapy Assistant | 200 N Emerald Ln, Suite 1a, Carbondale, IL 62901-2100 | 2007-03-21 |
| 1760530224 | Robert Gough Landes | Physical Therapist | 200 N Emerald Ln, Suite 1a, Carbondale, IL 62901-2100 | 2007-01-08 |
| 1023023579 | Rehab Innovations LLC | Clinic/Center | 200 N Emerald Ln, Suite 1a, Carbondale, IL 62901-2100 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598914095 | Gateway Foundation, Inc. | Clinic/Center | 1080 E Park St, Carbondale, IL 62901-3812 | 2008-09-09 |
| 1114126349 | Tri County Human Services Center Inc | Clinic/Center | 185 Fallbrook St, Carbondale, PA 18407-1861 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on CENTERSTONE OF ILLINOIS, 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.