OUTREACH COMMUNITY COUNSELING CENTER IN CAROL STREAM
NPI 1255443669
Clinic/Center - Adolescent and Children Mental Health in Wheaton, IL

NPI Status: Active since August 31, 2006

Contact Information

122 W LIBERTY DR
WHEATON, IL
ZIP 60187
Phone: (630) 682-1910
Fax: (630) 682-0655

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health
  • Accepts Insurance

About OUTREACH COMMUNITY COUNSELING CENTER IN CAROL STREAM

This page provides the complete NPI Profile along with additional information for Outreach Community Counseling Center In Carol Stream, a provider established in Wheaton, Illinois operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1255443669 assigned on August 2006. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Outreach Community Counseling Center In Carol Stream operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Outreach Community Counseling Center In Carol Stream. The authorized official of this NPI record is Brian T. Lux Lcpc (Director Of Clinical Services)

NPI
1255443669
Provider Legal Name
OUTREACH COMMUNITY MINISTRIES INC
Other Organization Name
OUTREACH COMMUNITY COUNSELING CENTER IN CAROL STREAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
122 W LIBERTY DR WHEATON, IL 60187
Location Phone
(630) 682-1910
Location Fax
(630) 682-0655
Mailing Address
373 S SCHMALE RD STE 102 CAROL STREAM, IL 60188
Mailing Phone
(630) 682-1910
Mailing Fax
(630) 682-0655
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
01-15-2021
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Location Map

Secondary Locations

  • 336 Gundersen Dr Ste B
    Carol Stream, IL 60188
    (630) 871-2100
  • 28W542 Batavia Rd
    Warrenville, IL 60555
    (630) 393-7057

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
3103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
5106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
6261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN T. LUX LCPC

Authorized Official Title
DIRECTOR OF CLINICAL SERVICES
Authorized Official Phone
(630) 682-1910

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02232105OTHER (01)ILBLUE CROSS BLUE SHIELD

Reviews for OUTREACH COMMUNITY COUNSELING CENTER IN CAROL STREAM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255443669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105846612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 4 + 6 + 6 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1255443669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992951644MRS. GAIL M HOFFMAN LCPC
Individual
Counselor (Professional)122 W LIBERTY DR
WHEATON, IL 60187
(630) 682-1910
1346470309MR. WILLIAM HARVEY UTZ II MA, LCPC
Individual
Counselor (Professional)122 W LIBERTY DR
WHEATON, IL 60187
(630) 682-1910
1275080434 KIMMERLY BUCHHOLZ
Individual
Social Worker (Clinical)122 W LIBERTY DR
WHEATON, IL 60187
(630) 682-1910
1649728148MS. VIVICA ROTH ODELL LCSW
Individual
Social Worker (Clinical)122 W LIBERTY DR
WHEATON, IL 60187
(630) 682-1910
1295922805 HEATHER ANDERSON LCPC
Individual
Counselor (Professional)122 W LIBERTY DR
WHEATON, IL 60187
(630) 682-1910
1750948501WHEATON YOUTH OUTREACH
Organization
Clinic/Center (Adolescent and Children Mental Health)122 W LIBERTY DR
WHEATON, IL 60187
(630) 682-1910
1184317380 GABRIELLE WINBUSH
Individual
Counselor (Mental Health)122 W LIBERTY DR
WHEATON, IL 60187
(630) 682-1910
1538841051 ALVIN MATHEW
Individual
Counselor (Mental Health)122 W LIBERTY DR
WHEATON, IL 60187
(630) 965-7943

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255443669, enumerated in the NPI registry as an "organization" on August 31, 2006

The provider is located at 122 W Liberty Dr Wheaton, Il 60187 and the phone number is (630) 682-1910

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

The provider might be accepting Accepts: Aetna CVS Health, Molina Healthcare, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.