COMMUNITY RESOURCE & COUNSELING CENTER (NPI# 1447784624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447784624 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESOURCE & COUNSELING CENTER |
| Practice Address |
1510 W Ottawa Rd Paxton IL 60957-4090 |
| Practice Telephone | 2173794302 |
| Practice Fax Number | 2173794304 |
| Mailing Telephone | 2173794302 |
| Mailing Fax Number | 2173794304 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Authorized Official Name | LAURELYN CROPEK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2173794302 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A76520001A | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DIVISION OF ALCOHOLISM AND SUBSTANCE ABUSE | A7652001A | 01 |
| Street Address |
1510 W OTTAWA RD |
| City | PAXTON |
| State | IL |
| Zip Code | 60957-4090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972567261 | Community Resource & Counseling Center Inc | Clinic/Center | 1510 W Ottawa Rd, Paxton, IL 60957 | 2006-04-13 |
| 1245847391 | Joseph Mooney | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2020-09-23 |
| 1972115988 | Tara Valentine | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2020-08-20 |
| 1922664721 | Anna Asplund | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-05-16 |
| 1497319313 | Kimber King | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-04-25 |
| 1699339515 | Anthony Mosinski | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-04-25 |
| 1366909913 | Joshua Aaron Carter | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2019-03-01 |
| 1316434731 | Bethany Britton | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2018-04-20 |
| 1427545847 | Miranda Shryack | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2018-04-20 |
| 1710474135 | Leslie L Wade | Counselor | 1510 W Ottawa Rd, Paxton, IL 60957-4090 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063976033 | Vogel's Compounding Pharmacy Pllc | Pharmacist | 137 North Market Street, Paxton, IL 60957 | 2019-01-24 |
| 1811472079 | Virginia Lafray | Licensed Practical Nurse | 151 W Ottawa Rd, Paxton, IL 60957 | 2018-10-03 |
| 1669648473 | Catherine Marie Demler | Skilled Nursing Facility | 1001 E Ells St, Paxton, IL 60957 | 2008-05-01 |
| 1841411360 | Gwyn L Howard | Physical Therapist | 257 W. Orleans, Paxton, IL 60957 | 2007-05-01 |
| 1467595017 | Andrew R Hudson | Pharmacist | 108 N Market Street, Paxton, IL 60957 | 2007-02-14 |
| 1033283189 | Melvin N. Seglin | Psychiatry & Neurology | 1510 W. Ottawa Rd., Paxton, IL 60957 | 2006-11-20 |
| 1306943907 | Ann A Stout | Social Worker | 1510 W Ohawa, Paxton, IL 60957 | 2006-09-19 |
| 1942307541 | Carol Schrepfer Colburn | Social Worker | 1510 W Ottowa, Paxton, IL 60957 | 2006-09-19 |
| 1912015710 | Paxton Buckley Loda Comm Unit School Dist 10 | Local Education Agency (LEA) | Panther Way, Paxton, IL 60957 | 2006-08-29 |
| 1922010701 | Laurelyn Hodges Cropek | Marriage & Family Therapist | 1510 W Ottawa, Paxton, IL 60957 | 2006-08-12 |
| Find all providers in zip 60957 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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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.