WEBSTER CANTRELL YOUTH ADVOCACY (NPI# 1841830429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841830429 |
| Entity Type | Organization |
| Organization Name | WEBSTER CANTRELL YOUTH ADVOCACY |
| Practice Address |
1942 E Cantrell St Decatur IL 62521-3214 |
| Practice Telephone | 2174236961 |
| Practice Fax Number | 2174216889 |
| Mailing Telephone | 2174236961 |
| Mailing Fax Number | 2174216889 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | MR. MICHAEL WARNER (CEO) |
| Authorized Official Telephone | 2174236961 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1220 Underwood Ct, Decatur, IL 625261983 | 2172336811 | 2172336810 |
| 202 E Eldorado St, Decatur, IL 625231039 | 2174227864 | 2174221324 |
| 2749 N Norwood Ave, Decatur, IL 625261517 | 2172330020 | 2172330017 |
| 3 Hilltop Dr, Decatur, IL 625214402 | 2174227864 | 2174221324 |
| 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 |
| 1477184406 | Webster Cantrell Youth Advocacy | Clinic/Center | 1220 Underwood Ct, Decatur, IL 62526-1983 | 2020-01-29 |
| Street Address |
1942 E CANTRELL ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689633828 | Webster-cantrell Hall | Residential Treatment Facility, Emotionally Disturbed Children | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2006-03-17 |
| 1366954489 | Denise Beeching | Counselor | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2017-10-30 |
| 1699214379 | Monique Smith | Social Worker | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2017-02-15 |
| 1427594357 | Brian Pinkston | Counselor | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2017-01-17 |
| 1780128934 | Kenneth Dayton Krueger | Counselor | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2016-12-07 |
| 1528421203 | Peter Hopkins | Counselor | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824014 | Magee Madry Counseling Services, LLC | Counselor | 2719 Apsley Way Sw, Decatur, AL 35603-3367 | 2020-09-07 |
| 1174141154 | Strong Counseling and Consulting | Counselor | 2107 N Decatur Rd Ste 711, Decatur, GA 30033-5305 | 2020-07-07 |
| 1982221917 | Jasmine Mcghee | Counselor | 2095 Manhattan Pkwy, Decatur, GA 30035-2252 | 2020-06-25 |
| 1851925218 | Nikkita Nelson | Counselor | 315 W Ponce De Leon Ave Ste 300, Decatur, GA 30030-2481 | 2020-02-25 |
| 1205476652 | Ameta Deborah Jasper | Counselor | 125 Clairemont Ave Ste 300, Decatur, GA 30030-2551 | 2020-01-14 |
| 1588208979 | Amanda Nesbitt | Counselor | 173 Pine Tree Cir, Decatur, GA 30032-1145 | 2019-10-29 |
| 1295386423 | Brentia J Caldwell | Counselor | 3205 River Shoals Cv, Decatur, GA 30034-6778 | 2019-09-29 |
| 1861044703 | Latasha Heinzen | Counselor | 2042 Beltline Rd Suite 120a, Decatur, AL 35602 | 2019-07-11 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1386107811 | Chardonnay Patterson | Counselor | 3629 Occidental Ct, Decatur, GA 30034-5502 | 2019-04-11 |
| 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.