WEBSTER CANTRELL YOUTH ADVOCACY (NPI# 1477184406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477184406 |
| Entity Type | Organization |
| Organization Name | WEBSTER CANTRELL YOUTH ADVOCACY |
| Practice Address |
1220 Underwood Ct Decatur IL 62526-1983 |
| Mailing Address |
1942 E Cantrell St Decatur IL 62521-3214 |
| Practice Telephone | 2172336811 |
| Practice Fax Number | 2172336810 |
| Mailing Telephone | 2174236961 |
| Mailing Fax Number | 2174216889 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | MR. MICHAEL WARNER (CEO) |
| Authorized Official Telephone | 2174236961 |
| Authorized Official Credential | MS.ED, LCPC, CAD |
| Is Organization Subpart | Y |
| Parent Organization Name | WEBSTER CANTRELL YOUTH ADVOCACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Staley Counseling Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518741 | Webster Cantrell Youth Advocacy | Clinic/Center | 202 E Eldorado St, Decatur, IL 62523-1039 | 2020-01-29 |
| 1275164741 | Webster Cantrell Youth Advocacy | Clinic/Center | 2749 N Norwood Ave, Decatur, IL 62526-1517 | 2020-02-03 |
| 1265063291 | Webster Cantrell Youth Advocacy | Clinic/Center | 3 Hilltop Dr, Decatur, IL 62521-4402 | 2020-01-29 |
| 1841830429 | Webster Cantrell Youth Advocacy | Social Worker | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2020-01-10 |
| Street Address |
1220 UNDERWOOD CT |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114275435 | Webster-cantrell Hall | Residential Treatment Facility, Emotionally Disturbed Children | 1220 Underwood Ct, Decatur, IL 62526-1983 | 2012-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1710518741 | Webster Cantrell Youth Advocacy | Clinic/Center | 202 E Eldorado St, Decatur, IL 62523-1039 | 2020-01-29 |
| 1245889609 | Sunshine Mental Wellness Inc | Clinic/Center | 2128 6th Ave Se Ste 501, Decatur, AL 35601-6563 | 2019-09-09 |
| 1760035455 | Come As You Are Counseling and Consulting LLC | Clinic/Center | 2042 Beltline Rd Sw Ste A120, Decatur, AL 35601-5691 | 2019-07-22 |
| 1225502057 | Crossing Recovery Center | Clinic/Center | 495 E. Central Ave, Decatur, IL 62521-4665 | 2019-01-15 |
| 1013491109 | Dayspring Counseling, LLC | Clinic/Center | 255 Grant St Se Ste 303, Decatur, AL 35601-2505 | 2018-09-24 |
| 1841739059 | Dr. Emily Katz Psychological Services | Clinic/Center | 1201 Clairmont Rd Ste 100, Decatur, GA 30030-1258 | 2017-02-21 |
| 1871971127 | L.i.n.k. Family Services | Clinic/Center | 3115 Sandlin Rd Sw, Decatur, AL 35603-1387 | 2015-05-07 |
| 1366719171 | Park Center, Inc. | Clinic/Center | 809 High St, Decatur, IN 46733-2324 | 2011-11-22 |
| 1356651582 | Brightpath Behavioral Health Group, L.L.C. | Clinic/Center | 2969 E Ponce De Leon Ave, Decatur, GA 30030-2215 | 2010-10-21 |
| 1043456908 | New Joshuas Circle of Hope for Mental Wellness & Recovery | Clinic/Center | 201 Thicket Way, Decatur, GA 30035-3700 | 2008-12-25 |
| Find all providers in DECATUR | ||||
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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.