S E ILLINOIS COUNSELING CTRS INC.


Address: 1501 Olive St, Lawrenceville, IL 62439-2269
Phone: 6189433451

S E ILLINOIS COUNSELING CTRS INC. (NPI# 1942479597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942479597
Entity Type Organization
Organization Name S E ILLINOIS COUNSELING CTRS INC.
Other Organization Name LAWRENCE FAMILY COUNSELING CTR
Practice Address 1501 Olive St
Lawrenceville
IL 62439-2269
Mailing Address Po Box M
504 Micah Drive
Olney
IL 62450-0913
Practice Telephone 6189433451
Practice Fax Number 6189434368
Mailing Telephone 6183954306
Mailing Fax Number 6183954507
Enumeration Date 2008-02-28
Last Update Date 2016-05-05
Authorized Official Name MR. GLENN JACKSON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6183954306
Authorized Official Credential M. DIV., LSW, LC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
LAWRENCE FAMILY COUNSELING CTR Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841469491 S E Illinois Counseling Ctrs Inc. Community/Behavioral Health 902 W Jourdan St, Newton, IL 62448-1062 2008-02-28

Office Location

Street Address 1501 OLIVE ST
City LAWRENCEVILLE
State IL
Zip Code 62439-2269

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427245562 Judy Hutchinson Counselor 1501 Olive St, Lawrenceville, IL 62439-2269 2007-10-03
1033612056 Carrie Parker Counselor 1501 Olive St, Lawrenceville, IL 62439-2269 2018-03-15
1568746832 Rebekkah L Hixon Counselor 1501 Olive St, Lawrenceville, IL 62439-2269 2011-10-05
1235317116 South Eastern Illinois Counseling Center Inc Clinic/Center 1501 Olive St, Lawrenceville, IL 62439-2269 2008-02-04
1053509026 Heather Blasingame Counselor 1501 Olive St, Lawrenceville, IL 62439-2269 2007-10-04
1275720203 Michael Lammert Counselor 1501 Olive St, Lawrenceville, IL 62439-2269 2007-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801406590 Allyson Fiscus Nurse Practitioner 11020 Il-250, Lawrenceville, IL 62439 2020-08-06
1164071700 Lauren E Welton Case Manager/Care Coordinator 11362 Country Club Road, Lawrenceville, IL 62439 2019-09-06
1962063354 Connie Deckard Counselor Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 2019-06-26
1225485527 Megan Joergens Social Worker 11120 State Route 250, Lawrenceville, IL 62439 2016-05-17
1235509456 Christy M Wimberly Private Vehicle 1417 Dubios St., Lawrenceville, IL 62439 2015-09-30
1144637521 Joy Singson Uy Physical Therapist 2101 James St United Methodist Village North, Lawrenceville, IL 62439 2014-07-17
1760791792 Lawrence Co Secured Medical Transport (VAN) 2009 Lexington Ave, Lawrenceville, IL 62439 2010-09-24
1134358922 Lawrence County Health Department Public Health or Welfare Rural Route3 Box 430, Lawrenceville, IL 62439 2009-07-14
1366678161 Judith Joan Phipps Counselor Rr1 Box 277, Lawrenceville, IL 62439 2009-06-08
1366648784 S. Hurn Baek Radiology Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 2007-06-22
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669944260 James Antonio Smith Counselor 669 Castlebottom Dr, Lawrenceville, GA 30045-2796 2018-12-19
1598269623 Shaheed Muslim Shabazz Counselor 208 Johnson Ave, Lawrenceville, NJ 08648-3418 2018-03-22
1932611688 Asfc Outreach Therapeutic Counseling Services, LLC Counselor 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 2017-11-02
1346631991 Approved Dui Risk Reduction Program, LLC Counselor 5 Hurricane Shoals Rd Ne Ste C, Lawrenceville, GA 30046-4562 2015-02-17
1669870879 Rosendo Rodriguez Counselor 1196 Ruby Nelson Ct., Lawrenceville, GA 30043 2014-12-22
1386961340 Raul Rodriguez Counselor 1586 Atkinson Rd, Suite 103, Lawrenceville, GA 30043-5972 2010-04-29
1831310309 Adria Trapani-barnacz Counselor 134 Franklin Corner Rd, Ste 3, Lawrenceville, NJ 08648-2527 2007-05-01
1790806164 Richard A. Gordon Counselor 1687 Lawrenceville Rd, Lawrenceville, NJ 08648-2901 2007-04-03
1487734372 Atlanta Family Counseling Center, Inc Counselor 190 Camden Hill Rd, Suite A, Lawrenceville, GA 30045-2448 2006-10-16
1588757496 Betty J Weber Counselor 183 Franklin Corner Rd, Lawrenceville, NJ 08648 2006-10-02
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Competitor

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City LAWRENCEVILLE
Zip Code 62439

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Dataset Information

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.

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