ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE
NPI 1386011161
Clinic/Center - Rehabilitation, Substance Use Disorder in Kewanee, IL

NPI Status: Active since August 27, 2015

Contact Information

137 E COLLEGE ST
KEWANEE, IL
ZIP 61443
Phone: (309) 852-4331

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance

About ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE

This page provides the complete NPI Profile along with additional information for Illinois Medicaid- Substance Abuse Kewanee, a provider established in Kewanee, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1386011161 assigned on August 2015. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Illinois Medicaid- Substance Abuse Kewanee operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Bill A Nelson Lcpc (Ceo)

NPI
1386011161
Provider Name
ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE
Entity Type
Organization
Location Address
137 E COLLEGE ST KEWANEE, IL 61443
Location Phone
(309) 852-4331
Mailing Address
137 E COLLEGE ST KEWANEE, IL 61443
Mailing Phone
(309) 852-4331
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-27-2015
Last Update Date
08-19-2019
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License State
IL

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

A-0118-0003-A (IL)
22084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

(IL)
32084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

(IL)
4261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

(IL)

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:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*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

MR. BILL A NELSON LCPC

Authorized Official Title
CEO
Authorized Official Phone
(309) 344-4200

Reviews for ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE

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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.
1386011161
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166012112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 0 + 1 + 2 + 1 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1386011161 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619190048 KATHLEEN ANN LINDQUIST LPN
Individual
Licensed Practical Nurse137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-4331
1639394273 TAMI MARIE BECKMAN LPN
Individual
Licensed Practical Nurse137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-7189
1063638583 DARYLNN JEAN PEART MS LPHA
Individual
Counselor (Mental Health)137 E COLLEGE ST
KEWANEE, IL 61443
(309) 854-0122
1457533994MRS. ELAINE A HUMPHREY LCPC
Individual
Counselor (Professional)137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-4331
1740550581 LISA KAY STEVENS-BUCK CADC
Individual
Counselor (Addiction (Substance Use Disorder))137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-4331
1073904348DR. REBEKAH FRANCES DEES-MCMAHON D. MIN..
Individual
Counselor (Professional)137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-4331
1255809349 CAROL PERVA RN
Individual
Registered Nurse137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-4331
1750859948 KYLA CARLSON QMHP
Individual
Counselor137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-4331
1275012692 KATHLEEN MORSE LPC
Individual
Counselor (Mental Health)137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-4331
1114140621BRIDGEWAY INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))137 E COLLEGE ST
KEWANEE, IL 61443
(309) 852-4331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386011161, enumerated in the NPI registry as an "organization" on August 27, 2015

The provider is located at 137 E College St Kewanee, Il 61443 and the phone number is (309) 852-4331

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. 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 27, 2015. 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.