KIDS' CORNERSTONE, LLC- A COUNSELING CENTER (NPI# 1447461587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447461587 |
| Entity Type | Organization |
| Organization Name | KIDS' CORNERSTONE, LLC- A COUNSELING CENTER |
| Practice Address |
1257 E Walnut St Suite 1 Carbondale IL 62901-5002 |
| Mailing Address |
Po Box 2625 Carbondale IL 62902-2625 |
| Practice Telephone | 6183519700 |
| Practice Fax Number | 6183519701 |
| Mailing Telephone | 6183519700 |
| Mailing Fax Number | 6183519701 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | VALERIE H. KASTEN (MANAGING PARTNER) |
| Authorized Official Telephone | 6183519700 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
180.006328 | IL | Ambulatory Health Care Facilities |
| Street Address |
1257 E WALNUT ST SUITE 1 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426968 | Cynthia June Edwards | Social Worker | 1257 E Walnut St, Carbondale, IL 62901-5002 | 2017-06-11 |
| 1760915227 | Kristin Glenn | Counselor | 1257 E Walnut St, Suite 1, Carbondale, IL 62901-5002 | 2017-04-11 |
| 1316339021 | Valerie Kasten | Counselor | 1257 E Walnut St, Suite 1, Carbondale, IL 62901-5002 | 2015-03-04 |
| 1780084947 | Lisa Christeson | Counselor | 1257 E Walnut St, #1, Carbondale, IL 62901-5002 | 2014-08-25 |
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|---|---|---|---|---|
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1295379972 | Compass Health Center Oakbrook Pllc | Clinic/Center | 700 Oakmont Ln, Westmont, IL 60559-5551 | 2019-11-05 |
| 1427690676 | Midwest Family and Community Resources PC | Clinic/Center | 3330 W 177th St Fl 1, Hazel Crest, IL 60429-2184 | 2019-10-09 |
| 1720629041 | Monte Nido Illinois, LLC | Clinic/Center | 27w121 80th St, Naperville, IL 60565-1270 | 2019-10-08 |
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| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on KIDS' CORNERSTONE, LLC- A COUNSELING 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.