CATHOLIC SOCIAL SERVICES OF SOUTHERN ILLINOIS (NPI# 1902973910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902973910 |
| Entity Type | Organization |
| Organization Name | CATHOLIC SOCIAL SERVICES OF SOUTHERN ILLINOIS |
| Practice Address |
8601 W Main St Suite 201 Belleville IL 62223-1719 |
| Mailing Address |
5213 Schollmeyer Ave. St. Louis MO 63109 |
| Practice Telephone | 6183945900 |
| Practice Fax Number | 6183945909 |
| Mailing Telephone | 3147527138 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY HUELSMANN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6183945900 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IL | Agencies |
| Street Address |
8601 W MAIN ST SUITE 201 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265419683 | Hafiz Khattak | Physical Medicine & Rehabilitation | 8601 W Main St, Ste. 101, Belleville, IL 62223-1719 | 2005-12-28 |
| 1790042000 | Christian Social Services of Illinois | Foster Care Agency | 8601 W Main St, Ste. 201, Belleville, IL 62223-1719 | 2012-04-12 |
| 1861758575 | Christian Social Services of Illinois | Community/Behavioral Health | 8601 W Main St, Ste. 201, Belleville, IL 62223-1719 | 2012-04-06 |
| 1417269796 | Ann Marie Bachmann | Social Worker | 8601 W Main St, Suite 201, Belleville, IL 62223-1719 | 2010-07-02 |
| 1942527536 | Catholic Social Services | Foster Care Agency | 8601 W Main St, Suite 201, Belleville, IL 62223-1719 | 2010-04-23 |
| 1124263199 | Catholic Social Service | Community/Behavioral Health | 8601 W Main St, Belleville, IL 62223-1719 | 2008-12-04 |
| 1194940007 | Sandra K Freiburg | Social Worker | 8601 W Main St, Suite 201, Belleville, IL 62223-1719 | 2007-04-16 |
| 1841413119 | Alyson Renae Knight | Counselor | 8601 W Main St, Belleville, IL 62223-1719 | 2007-04-11 |
| 1972660363 | Carean E Heyliger | Counselor | 8601 W Main St, Belleville, IL 62223-1719 | 2007-01-03 |
| 1811096381 | Kimberly Ann Rurack | Counselor | 8601 W Main St, Ste 201, Belleville, IL 62223-1719 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| 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 |
|---|---|---|---|---|
| 1255964870 | Group Interventions | Community/Behavioral Health | 6600 W Main St Ste 4b, Belleville, IL 62223-3037 | 2020-02-21 |
| 1619401171 | Kd&u Services LLC | Community/Behavioral Health | 14 Crescent Ter, Belleville, NJ 07109-2064 | 2017-04-11 |
| 1316385990 | The Ease Program | Community/Behavioral Health | 2900 Frank Scott Pkwy W Ste 956, Belleville, IL 62223-5000 | 2013-06-05 |
| 1295059988 | Children's Home and Aid | Community/Behavioral Health | 120 E A St, Belleville, IL 62220-1401 | 2010-03-24 |
| 1386892818 | Gateway Foundation, Inc. | Community/Behavioral Health | 7 N High St, Belleville, IL 62220-1435 | 2008-09-09 |
| 1154399780 | Christian Social Services of Illinois | Community/Behavioral Health | 8601 West Main Street Suite 201, Belleville, IL 62226-1719 | 2006-03-09 |
| 1942749429 | Northwest Essex Community Healthcare | Community/Behavioral Health | 570 Belleville Ave, Belleville, NJ 07109-1308 | 2017-02-17 |
| 1780036418 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 218 W Main St, Belleville, IL 62220-1504 | 2016-07-06 |
| 1114385507 | Treatment Alternatives for Safe Communilties | Community/Behavioral Health | 218 W Main St, Belleville, IL 62220-1504 | 2016-02-01 |
| 1295107563 | Professional Supportive Solution Therapy | Community/Behavioral Health | 6400 W Main St, Belleville, IL 62223-3806 | 2015-10-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
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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.