COUNSELING & FAMILY SERVICES (NPI# 1396876140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396876140 |
| Entity Type | Organization |
| Organization Name | COUNSELING & FAMILY SERVICES |
| Practice Address |
330 Sw Washington St Peoria IL 61602-1417 |
| Mailing Address |
330 Sw Washington St Peoria IL 61602-1406 |
| Practice Telephone | 3096762400 |
| Mailing Telephone | 3096762400 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | ANN R LADING-FERGUSON (CEO) |
| Authorized Official Telephone | 3096762400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
180-003685 | IL | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | 180-003685 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 180-003685 | 05 |
| Street Address |
330 SW WASHINGTON ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904874 | Thecla A Gavin | Counselor | 330 Sw Washington St, Peoria, IL 61602-1406 | 2020-08-28 |
| 1154964534 | Kayla Powell | Counselor | 330 Sw Washington St, Peoria, IL 61602-1406 | 2019-10-18 |
| 1255848164 | Jonathan Stuart Jurow | Counselor | 330 Sw Washington St, Peoria, IL 61602-1406 | 2018-01-02 |
| 1982143434 | Caitlin Scott | Counselor | 330 Sw Washington St, Peoria, IL 61602-1406 | 2017-02-16 |
| 1174987531 | Sharon Morrissy Monier | Social Worker | 330 Sw Washington St, Peoria, IL 61602-1406 | 2016-04-11 |
| 1396010898 | Mary S. Delicath | Counselor | 330 Sw Washington St, Peoria, IL 61602-1406 | 2012-03-15 |
| 1235409368 | Jay Michael Curley | Counselor | 330 Sw Washington St, Peoria, IL 61602-1406 | 2012-01-05 |
| 1275704090 | Jewel Kristine Hemmele | Counselor | 330 Sw Washington St, Peoria, IL 61602-1417 | 2008-03-19 |
| 1205953528 | Charles A Klees | Counselor | 330 Sw Washington St, Peoria, IL 61602-1417 | 2007-03-23 |
| 1336271378 | Julie Marie Caron Sims | Social Worker | 330 Sw Washington St, Peoria, IL 61602-1417 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| 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 |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1881209583 | Alpine Villa Group LLC | Community/Behavioral Health | 8845 W Potter Dr, Peoria, AZ 85382-6428 | 2020-09-10 |
| 1013556687 | Greystone House 2, LLC | Community/Behavioral Health | 27490 N Higuera Dr, Peoria, AZ 85383-4859 | 2019-12-31 |
| 1659921427 | Terpro LLC | Community/Behavioral Health | 8175 W Ludlow Dr Unit 222, Peoria, AZ 85381-4796 | 2019-09-13 |
| 1528614807 | Sage Counseling, Inc. | Community/Behavioral Health | 8805 W Union Hills Dr Ste 100, Peoria, AZ 85382-8153 | 2019-08-13 |
| 1336607613 | Angel Kids Academy LLC | Community/Behavioral Health | 8910 W Monroe St, Peoria, AZ 85345-6440 | 2019-03-06 |
| 1699269647 | Radu Marinescu | Community/Behavioral Health | 9140 W Hearn Rd, Peoria, AZ 85381-3790 | 2018-06-21 |
| 1740787753 | Pathway Youth and Family Services LLC | Community/Behavioral Health | 9794 W Peoria Ave Ste 13, Peoria, AZ 85345-6138 | 2018-04-07 |
| 1396262044 | Az Behavioral Health Services LLC | Community/Behavioral Health | 9791 W Butler Dr, Peoria, AZ 85345-3725 | 2017-08-24 |
| 1992163380 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 108 Sw Madison Ave, Peoria, IL 61602-1107 | 2016-02-01 |
| Find all providers in PEORIA | ||||
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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.