SOUTH EASTERN ILLINOIS COUNSELING CENTER INC (NPI# 1891973772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891973772 |
| Entity Type | Organization |
| Organization Name | SOUTH EASTERN ILLINOIS COUNSELING CENTER INC |
| Other Organization Name | CRAWFORD FAMILY COUNSELING CENTER |
| Practice Address |
204 W Highland Ave Robinson IL 62454-1710 |
| Mailing Address |
Po Box M Olney IL 62450-0913 |
| Practice Telephone | 6185461021 |
| Practice Fax Number | 6185447892 |
| Mailing Telephone | 6183954306 |
| Mailing Fax Number | 6183954507 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | MR. GLENN JACKSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6183954309 |
| Authorized Official Credential | M. DIV. LSW, LCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| CRAWFORD FAMILY COUNSELING CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700064268 | South Eastern Illinois Counseling Center Inc | Case Management | 204a W. Highland, Robinson, IL 62454 | 2008-02-07 |
| 1952589830 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2008-02-04 |
| 1649458522 | South Eastern Illinois Counseling Center Inc | Case Management | 515 W Saint John St, Olney, IL 62450-1426 | 2008-02-04 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| 1710165279 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 504 Micah Drive, Olney, IL 62450-0913 | 2008-02-07 |
| 1982882866 | South Eastern Illinois Counseling Center Inc | Counselor | 254 S 5th St, Albion, IL 62806-1121 | 2008-02-04 |
| 1245418128 | South Eastern Illinois Counseling Center Inc | Counselor | 902 W Jourdan St, Newton, IL 62448-1062 | 2008-02-04 |
| 1407034382 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 602 E 5th St, Mount Carmel, IL 62863-2152 | 2008-02-04 |
| 1003094988 | South Eastern Illinois Counseling Center Inc | Case Management | 118 W North Ave, Flora, IL 62839-1612 | 2008-02-04 |
| 1235317116 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 1501 Olive St, Lawrenceville, IL 62439-2269 | 2008-02-04 |
| Street Address |
204 W HIGHLAND AVE |
| City | ROBINSON |
| State | IL |
| Zip Code | 62454-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881881928 | Debbie Weger | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2007-10-03 |
| 1114376092 | Southeastern Il Counseling Ctrs Inc. | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2016-06-10 |
| 1962862284 | Kimberly Musgrave | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2016-02-29 |
| 1740646462 | Morgan Thomas | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2016-01-11 |
| 1114306305 | Matthew King | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2015-05-21 |
| 1851796197 | Kathryn Niemerg | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2014-10-29 |
| 1558774810 | Amanda Short | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2014-06-04 |
| 1225454010 | Rachel Hille | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2014-03-17 |
| 1548686595 | April Suprenaut | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2014-03-14 |
| 1447685292 | Letizia Boin | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2013-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437555687 | Jeffrey A. Veley Jr. | Hearing Instrument Specialist | 101 Court Street, Audibel Hearing Aids, Robinson, IL 62454 | 2014-11-17 |
| 1548677503 | Peggy Hamilton | Physical Therapy Assistant | 600 Robinwood Drive, Heritage Health, Therapy, and Senior Care, Robinson, IL 62454 | 2014-07-22 |
| 1447499678 | Judith Medsker | Counselor | 204 West Highland, Robinson, IL 62454 | 2009-02-11 |
| 1699939165 | Pat L Mcmillan | Dentist | 708 W Craft, Robinson, IL 62454 | 2008-07-15 |
| 1700064268 | South Eastern Illinois Counseling Center Inc | Case Management | 204a W. Highland, Robinson, IL 62454 | 2008-02-07 |
| 1831387687 | Rose M Agan | Counselor | 204a West Highland Ave., Robinson, IL 62454 | 2007-10-05 |
| 1376731125 | Brenda Wampler | Counselor | 204 W Highland Ave Ste A, Robinson, IL 62454 | 2007-10-05 |
| 1134315492 | Stephen M. Lathrop | Durable Medical Equipment & Medical Supplies | 1106 N. Allen St., Ste. A, Robinson, IL 62454 | 2007-09-20 |
| 1699893032 | David Alan Llewellyn | Dentist | 208 East Pine St, Robinson, IL 62454 | 2007-03-26 |
| 1457424632 | Tlc Foot Doc, Ltd | Podiatrist | 1000 N. Allen Street, Cmh-consulting Clinic, Robinson, IL 62454 | 2006-11-16 |
| Find all providers in zip 62454 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114376092 | Southeastern Il Counseling Ctrs Inc. | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2016-06-10 |
| 1861805343 | Martha Stephens | Counselor | 204 West Highland, Robinson, IL 62454-1710 | 2014-06-03 |
| 1801085139 | Richard Swisher | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2007-10-23 |
| 1518155589 | Harriett Carroll | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2007-10-04 |
| 1891983854 | Brad Musgrave | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2007-10-04 |
| 1407044472 | Gretchen Conner | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2007-10-04 |
| 1255529210 | Penny Reinoehl | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2007-10-04 |
| 1417144437 | Beth Sprague | Counselor | 204 W Highland Ave, Robinson, IL 62454-1710 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
| 1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
| 1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
| 1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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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.