ST CLAIR COUNTY CHILD ADVOCACY CENTER (NPI# 1376713206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376713206 |
| Entity Type | Organization |
| Organization Name | ST CLAIR COUNTY CHILD ADVOCACY CENTER |
| Practice Address |
226 W Main St Suite 100 Belleville IL 62220-1504 |
| Practice Telephone | 6182771134 |
| Practice Fax Number | 6182774110 |
| Mailing Telephone | 6182771134 |
| Mailing Fax Number | 6182774110 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | MS. CAROLYN HUBLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6182771134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IL | Agencies |
| Street Address |
226 W MAIN ST SUITE 100 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710159876 | Patricia Ann Matz | Counselor | 226 W Main St, Suite 100, Belleville, IL 62220-1504 | 2008-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964870 | Group Interventions | Community/Behavioral Health | 6600 W Main St Ste 4b, Belleville, IL 62223-3037 | 2020-02-21 |
| 1619401171 | Kd&u Services LLC | Community/Behavioral Health | 14 Crescent Ter, Belleville, NJ 07109-2064 | 2017-04-11 |
| 1316385990 | The Ease Program | Community/Behavioral Health | 2900 Frank Scott Pkwy W Ste 956, Belleville, IL 62223-5000 | 2013-06-05 |
| 1295059988 | Children's Home and Aid | Community/Behavioral Health | 120 E A St, Belleville, IL 62220-1401 | 2010-03-24 |
| 1386892818 | Gateway Foundation, Inc. | Community/Behavioral Health | 7 N High St, Belleville, IL 62220-1435 | 2008-09-09 |
| 1154399780 | Christian Social Services of Illinois | Community/Behavioral Health | 8601 West Main Street Suite 201, Belleville, IL 62226-1719 | 2006-03-09 |
| 1942749429 | Northwest Essex Community Healthcare | Community/Behavioral Health | 570 Belleville Ave, Belleville, NJ 07109-1308 | 2017-02-17 |
| 1780036418 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 218 W Main St, Belleville, IL 62220-1504 | 2016-07-06 |
| 1114385507 | Treatment Alternatives for Safe Communilties | Community/Behavioral Health | 218 W Main St, Belleville, IL 62220-1504 | 2016-02-01 |
| 1295107563 | Professional Supportive Solution Therapy | Community/Behavioral Health | 6400 W Main St, Belleville, IL 62223-3806 | 2015-10-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on ST CLAIR COUNTY CHILD ADVOCACY CENTER.
| 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.