STALEY COUNSELING CENTER
NPI 1477184406
Counselor - Mental Health in Decatur, IL

NPI Status: Active since January 29, 2020

Contact Information

1220 UNDERWOOD CT
DECATUR, IL
ZIP 62526
Phone: (217) 233-6811
Fax: (217) 233-6810

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  • Organization
  • Counselor
  • Mental Health
  • Accepts Insurance

About STALEY COUNSELING CENTER

This page provides the complete NPI Profile along with additional information for Staley Counseling Center, a provider established in Decatur, Illinois operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1477184406 assigned on January 2020. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Staley Counseling Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Staley Counseling Center. The authorized official of this NPI record is Mr. Michael Warner Ms.ed, Lcpc, Cadc (Ceo)

NPI
1477184406
Provider Legal Name
WEBSTER CANTRELL YOUTH ADVOCACY
Other Organization Name
STALEY COUNSELING CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1220 UNDERWOOD CT DECATUR, IL 62526
Location Phone
(217) 233-6811
Location Fax
(217) 233-6810
Mailing Address
1942 E CANTRELL ST DECATUR, IL 62521
Mailing Phone
(217) 423-6961
Mailing Fax
(217) 233-6810
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-29-2020
Last Update Date
05-17-2021
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A mental health counselor like Staley Counseling Center provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health 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:

  • 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. MICHAEL WARNER MS.ED, LCPC, CADC

Authorized Official Title
CEO
Authorized Official Phone
(217) 423-6961

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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.
1477184406
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2414728840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 2 + 8 + 8 + 4 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1477184406 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114275435WEBSTER-CANTRELL HALL
Organization
Residential Treatment Facility, Emotionally Disturbed Children1220 UNDERWOOD CT
DECATUR, IL 62526
(217) 233-6811
1891424487 MICHELLE MINTON
Individual
Counselor (Professional)1220 UNDERWOOD CT
DECATUR, IL 62526
(217) 233-6811
1184441628MRS. JODIE ANNE TRIMBY LSW
Individual
Social Worker1220 UNDERWOOD CT
DECATUR, IL 62526
(217) 972-6550
1346069432 KYLIE VANDYKE
Individual
Social Worker1220 UNDERWOOD CT
DECATUR, IL 62526
(217) 233-6811

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477184406, enumerated in the NPI registry as an "organization" on January 29, 2020

The provider is located at 1220 Underwood Ct Decatur, Il 62526 and the phone number is (217) 233-6811

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

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 January 29, 2020. 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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