WEBSTER CANTRELL YOUTH ADVOCACY (NPI# 1710518741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710518741 |
| Entity Type | Organization |
| Organization Name | WEBSTER CANTRELL YOUTH ADVOCACY |
| Practice Address |
202 E Eldorado St Decatur IL 62523-1039 |
| Mailing Address |
1942 E Cantrell St Decatur IL 62521-3214 |
| Practice Telephone | 2174227864 |
| Practice Fax Number | 2174221324 |
| Mailing Telephone | 2174236961 |
| Mailing Fax Number | 2174216889 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | MR. MICHAEL WARNER (CEO) |
| Authorized Official Telephone | 2174236961 |
| Authorized Official Credential | MS,ED, LCPC, CAD |
| Is Organization Subpart | Y |
| Parent Organization Name | WEBSTER CANTRELL YOUTH ADVOCACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WCYA Satellite | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164741 | Webster Cantrell Youth Advocacy | Clinic/Center | 2749 N Norwood Ave, Decatur, IL 62526-1517 | 2020-02-03 |
| 1265063291 | Webster Cantrell Youth Advocacy | Clinic/Center | 3 Hilltop Dr, Decatur, IL 62521-4402 | 2020-01-29 |
| 1477184406 | Webster Cantrell Youth Advocacy | Clinic/Center | 1220 Underwood Ct, Decatur, IL 62526-1983 | 2020-01-29 |
| 1841830429 | Webster Cantrell Youth Advocacy | Social Worker | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2020-01-10 |
| Street Address |
202 E ELDORADO ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62523-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1093091597 | Leesa K Reed | Social Worker | 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 | 2011-10-27 |
| 1407001357 | Pamela Sue Waterman | Counselor | 720 E. Wood St., Decatur, IL 62523 | 2008-11-19 |
| 1639231731 | Heritage Behavioral Health Center Inc. | Clinic/Center | 151 N Main Street, Decatur, IL 62523 | 2006-12-14 |
| 1669561080 | Diane S Pleasant | Counselor | 335 E Wood St Ste B, Decatur, IL 62523 | 2006-10-12 |
| 1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
| 1871117887 | Restore Wellness Counseling LLC | Social Worker | 106 North Main Street, Decatur, IL 62523 | 2020-06-04 |
| 1275004186 | Stephanie Maurer | Physician Assistant | 320 Central Ave, Decatur, IL 62523 | 2018-12-17 |
| 1174049209 | Patricia Shannon | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523 | 2017-08-21 |
| 1669673620 | Decatur Public School Dist. #61 | Local Education Agency (LEA) | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2007-05-29 |
| Find all providers in zip 62523 | ||||
| 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 |
|---|---|---|---|---|
| 1245889609 | Sunshine Mental Wellness Inc | Clinic/Center | 2128 6th Ave Se Ste 501, Decatur, AL 35601-6563 | 2019-09-09 |
| 1760035455 | Come As You Are Counseling and Consulting LLC | Clinic/Center | 2042 Beltline Rd Sw Ste A120, Decatur, AL 35601-5691 | 2019-07-22 |
| 1225502057 | Crossing Recovery Center | Clinic/Center | 495 E. Central Ave, Decatur, IL 62521-4665 | 2019-01-15 |
| 1013491109 | Dayspring Counseling, LLC | Clinic/Center | 255 Grant St Se Ste 303, Decatur, AL 35601-2505 | 2018-09-24 |
| 1841739059 | Dr. Emily Katz Psychological Services | Clinic/Center | 1201 Clairmont Rd Ste 100, Decatur, GA 30030-1258 | 2017-02-21 |
| 1871971127 | L.i.n.k. Family Services | Clinic/Center | 3115 Sandlin Rd Sw, Decatur, AL 35603-1387 | 2015-05-07 |
| 1366719171 | Park Center, Inc. | Clinic/Center | 809 High St, Decatur, IN 46733-2324 | 2011-11-22 |
| 1356651582 | Brightpath Behavioral Health Group, L.L.C. | Clinic/Center | 2969 E Ponce De Leon Ave, Decatur, GA 30030-2215 | 2010-10-21 |
| 1043456908 | New Joshuas Circle of Hope for Mental Wellness & Recovery | Clinic/Center | 201 Thicket Way, Decatur, GA 30035-3700 | 2008-12-25 |
| 1275164741 | Webster Cantrell Youth Advocacy | Clinic/Center | 2749 N Norwood Ave, Decatur, IL 62526-1517 | 2020-02-03 |
| Find all providers in DECATUR | ||||
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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.