STEADFAST CENTER LLC (NPI# 1659855997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659855997 |
| Entity Type | Organization |
| Organization Name | STEADFAST CENTER LLC |
| Practice Address |
701 Devonshire Dr Ste B1 Champaign IL 61820-7337 |
| Practice Telephone | 2177784134 |
| Practice Fax Number | 8444501518 |
| Mailing Telephone | 2177784134 |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | MRS. HEATHER L PIERCE (OWNER) |
| Authorized Official Telephone | 2177784134 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 404 W Green St, Urbana, IL 618013267 | 2177784134 |
| Street Address |
701 DEVONSHIRE DR STE B1 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-7337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134533771 | Carol Osgood | Social Worker | 701 Devonshire Dr Ste B1, Champaign, IL 61820-7354 | 2014-06-11 |
| 1487209359 | Jessica L Mcclellan | Social Worker | 701 Devonshire Dr Ste B1, Champaign, IL 61820-7337 | 2019-08-07 |
| 1285191312 | Christian Eric Erlenbush | Social Worker | 701 Devonshire Dr Ste B1, Champaign, IL 61820-7337 | 2019-02-25 |
| 1972068849 | Lashaunna Lesure | Social Worker | 701 Devonshire Dr Ste B1, Champaign, IL 61820-7337 | 2019-02-05 |
| 1477026607 | Virginia Bolan | Social Worker | 701 Devonshire Dr Ste B1, Champaign, IL 61820-7337 | 2019-01-10 |
| 1437622230 | Latrice Willis | Social Worker | 701 Devonshire Dr Ste B1, Champaign, IL 61820-7337 | 2019-01-04 |
| 1326553363 | Rebecca Richards | Social Worker | 701 Devonshire Dr Ste B1, Champaign, IL 61820-7337 | 2017-12-13 |
| 1629434907 | Lynda Alper | Counselor | 701 Devonshire Dr Ste B1, Champaign, IL 61820-7354 | 2016-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726684 | Lauren England | Counselor | 201 W Springfield Ave Ste 1002, Champaign, IL 61820-4834 | 2020-06-29 |
| 1710514971 | Joy Tamberlin Henderson | Counselor | 4112 Fieldstone Rd Suite B, Champaign, IL 61820-6182 | 2020-03-26 |
| 1124588900 | Alicia Severins | Counselor | 3362 Big Pine Trl Ste A, Champaign, IL 61822-1409 | 2019-03-20 |
| 1558796888 | Julie Ann Cochrane | Counselor | 3505 Lakeshore Dr, Champaign, IL 61822-5201 | 2013-09-05 |
| 1487927372 | Carol J Claxon | Counselor | 810 Sedgegrass Dr, Champaign, IL 61822-2024 | 2012-02-23 |
| 1740571462 | Laura Nichole Pierceall | Counselor | 502 West Market Street, Champaign, IL 61820 | 2011-04-28 |
| 1174836704 | Catherine E Morgan Look | Counselor | 1701 Sheridan Rd, Champaign, IL 61821-4810 | 2010-07-25 |
| 1851627293 | Lisa M. Billman | Counselor | 202 W. Park St, Champaign, IL 61820 | 2009-10-20 |
| 1407034853 | Kara M. Morgan | Counselor | 1401 W Green St, Champaign, IL 61821-3822 | 2008-02-07 |
| 1740467877 | Heidi M Mcgill | Counselor | 2919 Crossing Court, Suite 6, Champaign, IL 61822 | 2008-01-31 |
| Find all providers in CHAMPAIGN | ||||
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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.