ILLINOIS MEDICAID- SUBSTANCE ABUSE KEWANEE
NPI 1386011161
Clinic/Center - Rehabilitation, Substance Use Disorder in Kewanee, IL
NPI Status: Active since August 27, 2015
- 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
- Code Navigator
Location Map
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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | A-0118-0003-A (IL) |
| 2 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (IL) |
| 3 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (IL) |
| 4 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | (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.
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. | |||||||||
| 1 | 3 | 8 | 6 | 0 | 1 | 1 | 1 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 0 | 1 | 2 | 1 | 12 | |
| 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 = 1 | 1 | ||||||||
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 Nurse | 137 E COLLEGE ST KEWANEE, IL 61443 (309) 852-4331 |
| 1639394273 | TAMI MARIE BECKMAN LPN Individual | Licensed Practical Nurse | 137 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 |
| 1457533994 | MRS. 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 |
| 1073904348 | DR. 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 Nurse | 137 E COLLEGE ST KEWANEE, IL 61443 (309) 852-4331 |
| 1750859948 | KYLA CARLSON QMHP Individual | Counselor | 137 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 |
| 1114140621 | BRIDGEWAY 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].
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