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
- 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
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | |
| 4 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 5 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 6 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center |
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.
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 |
|---|---|---|---|
| 02232105 | OTHER (01) | IL | BLUE CROSS BLUE SHIELD |
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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. | |||||||||
| 1 | 2 | 5 | 5 | 4 | 4 | 3 | 6 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 4 | 6 | 6 | 12 | |
| 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 = 9 | 9 | ||||||||
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 |
|---|---|---|---|
| 1992951644 | MRS. GAIL M HOFFMAN LCPC Individual | Counselor (Professional) | 122 W LIBERTY DR WHEATON, IL 60187 (630) 682-1910 |
| 1346470309 | MR. 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 |
| 1649728148 | MS. 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 |
| 1750948501 | WHEATON 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].
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