CENTERSTONE OF ILLINOIS, INC (NPI# 1316284516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316284516 |
| Entity Type | Organization |
| Organization Name | CENTERSTONE OF ILLINOIS, INC |
| Practice Address |
403 Municipal Dr Carterville IL 62918-2042 |
| Practice Telephone | 6189376483 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | STACY PHILLIPS (BILLING MANAGER) |
| Authorized Official Telephone | 6189376483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1033516950 | Centerstone of Illinois, Inc | Community Based Residential Treatment Facility, Mental Illness | 2411 S Illinois Ave, Carbondale, IL 62903-5913 | 2014-11-20 |
| 1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
| 1497064208 | Centerstone of Illinois, Inc | Community/Behavioral Health | 221 E County Rd, Jerseyville, IL 62052-3190 | 2010-09-28 |
| 1861700585 | Centerstone of Illinois, Inc | Community/Behavioral Health | 118 Krause Dr, Jerseyville, IL 62052-3610 | 2010-09-15 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1386899383 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2302 State St, Alton, IL 62002-4379 | 2008-11-19 |
| 1902051915 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2123 Holland St, Alton, IL 62002-3339 | 2008-11-19 |
| 1265686307 | Centerstone of Illinois, Inc | Community/Behavioral Health | 515 Niagara Street, East Alton, IL 62024-1087 | 2008-11-14 |
| 1952934200 | Centerstone of Illinois, Inc | Clinic/Center | 800 N Main St, Anna, IL 62906-1665 | 2020-02-14 |
| Street Address |
403 MUNICIPAL DR |
| City | CARTERVILLE |
| State | IL |
| Zip Code | 62918-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006017 | Robert Anderson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-09-04 |
| 1851905061 | Daniele Laplant | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-09-04 |
| 1366052466 | Alyssa Anderson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-08-04 |
| 1386254506 | Darneshia Coleman | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-08-03 |
| 1972111680 | Lindsey Nagel | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-07-20 |
| 1205444338 | Sierra Lee | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-07-15 |
| 1073139929 | Teresa Eblin | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-06-17 |
| 1821625641 | Jennifer Dorton | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-23 |
| 1790311538 | Savanah King | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-12 |
| 1083249635 | Preston Simpson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
| 1457879330 | Alex M Witcher | Registered Nurse | 307 Pennsylvania Ave, Carterville, IL 62918 | 2017-08-31 |
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
| 1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
| 1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
| 1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
| 1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| 1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
| Find all providers in zip 62918 | ||||
| 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 |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | CARTERVILLE |
| Zip Code | 62918 |
Please comment or provide details below to improve the information on CENTERSTONE OF ILLINOIS, INC.
| 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.