COMMUNITY RESOURCE CENTER INC (NPI# 1841468568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841468568 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESOURCE CENTER INC |
| Practice Address |
904 East Martin Luther King Drive Centralia IL 62801 |
| Mailing Address |
101 S Locust St Centralia IL 62801-3506 |
| Practice Telephone | 6185331391 |
| Practice Fax Number | 6185330012 |
| Mailing Telephone | 6185331391 |
| Mailing Fax Number | 6185330012 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2012-05-07 |
| Authorized Official Name | DENISE DAUM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6185331391 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY RESOURCE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 04035 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
| 1386605434 | Community Resource Center Inc | Clinic/Center | 904 East Martin Luther King Drive, Centralia, IL 62801 | 2006-03-29 |
| 1154599884 | Community Resource Center Inc | Clinic/Center | 580 8th St, Carlyle, IL 62231-1803 | 2008-02-15 |
| 1245408491 | Community Resource Center Inc | Clinic/Center | 421 W Main St, Vandalia, IL 62471-2214 | 2008-02-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY RESOURCE CENTER INC | 904 M L King Dr, Centralia, IL 62801-3058 |
| Street Address |
904 EAST MARTIN LUTHER KING DRIVE |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386605434 | Community Resource Center Inc | Clinic/Center | 904 East Martin Luther King Drive, Centralia, IL 62801 | 2006-03-29 |
| 1497235659 | Amber Sue Crawford | Counselor | 904 East Martin Luther King Drive, Centralia, IL 62801 | 2018-08-17 |
| 1548640634 | Megan Borland | Counselor | 904 East Martin Luther King Drive, Centralia, IL 62801-6016 | 2015-06-03 |
| 1477946804 | Bettina Mcculloch | Counselor | 904 East Martin Luther King Drive, Centralia, IL 62801 | 2015-03-10 |
| 1629204888 | Community Resource Center | Clinic/Center | 904 East Martin Luther King Drive, Centralia, IL 62801 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| 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 |
|---|---|---|---|---|
| 1134505407 | Lewis County Therapy Services, LLC | Community/Behavioral Health | 1000 Kresky Ave # 6, Centralia, WA 98531-3700 | 2015-08-10 |
| 1063765055 | Community Resource Center | Community/Behavioral Health | 904 E Mlk Drive, Centralia, IL 62801-3058 | 2012-10-16 |
| 1720578487 | American Behavioral Health Systems, Inc. | Community/Behavioral Health | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2018-05-17 |
| 1407268782 | Cedars Psychology Services, LLC | Community/Behavioral Health | 221 N Tower Ave, Suite 301, Centralia, WA 98531-4309 | 2014-05-21 |
| 1518246776 | Community Resource Center | Community/Behavioral Health | 101 S Locust St, Centralia, IL 62801-3506 | 2011-08-05 |
| 1871896936 | Community Resource Center | Community/Behavioral Health | 101 S Locust St, Centralia, IL 62801-3506 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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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.