S E Illinois Counseling Ctrs
NPI 1013186568 · Addiction (Substance Use Disorder) Counselor · Fairfield, IL
S E Illinois Counseling Ctrs is a Addiction (Substance Use Disorder) Counselor organization in Fairfield, IL (NPI 1013186568).
Provider details
- NPI number
- 1013186568
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Glenn Jackson, Executive Director(618) 395-4309
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Wayne Family Counseling Ctr
Registry dates
- Enumerated
- 2008-02-28
- Last updated
- 2016-05-05
Frequently asked questions
- What is S E Illinois Counseling Ctrs's NPI number?
- S E Illinois Counseling Ctrs's National Provider Identifier (NPI) is 1013186568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is S E Illinois Counseling Ctrs?
- S E Illinois Counseling Ctrs is classified in the NPPES registry as Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is S E Illinois Counseling Ctrs located?
- S E Illinois Counseling Ctrs's practice location on file with NPPES is 407 N Basin Rd, Fairfield, IL 62837-9639.
- What is S E Illinois Counseling Ctrs's phone number?
- The practice phone number listed in the NPPES registry for S E Illinois Counseling Ctrs is (618) 842-2125.
- Who is the authorized official for S E Illinois Counseling Ctrs?
- The authorized official listed on S E Illinois Counseling Ctrs's NPPES record is Glenn Jackson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is S E Illinois Counseling Ctrs's NPI active?
- Yes — S E Illinois Counseling Ctrs's NPI (1013186568) is active in the NPPES registry as of the last update on 2016-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.