South Eastern Illinois Counseling Center Inc
NPI 1952589830 · Mental Health Counselor · Fairfield, IL
South Eastern Illinois Counseling Center Inc is a Mental Health Counselor organization in Fairfield, IL (NPI 1952589830).
Provider details
- NPI number
- 1952589830
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Glenn Jackson, Executive Director(618) 395-4309
Specialties & taxonomies
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
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 Center
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2016-05-05
Frequently asked questions
- What is South Eastern Illinois Counseling Center Inc's NPI number?
- South Eastern Illinois Counseling Center Inc's National Provider Identifier (NPI) is 1952589830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Eastern Illinois Counseling Center Inc?
- South Eastern Illinois Counseling Center Inc is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is South Eastern Illinois Counseling Center Inc located?
- South Eastern Illinois Counseling Center Inc's practice location on file with NPPES is 407 N Basin Rd, Fairfield, IL 62837-9639.
- What is South Eastern Illinois Counseling Center Inc's phone number?
- The practice phone number listed in the NPPES registry for South Eastern Illinois Counseling Center Inc is (618) 842-2125.
- Who is the authorized official for South Eastern Illinois Counseling Center Inc?
- The authorized official listed on South Eastern Illinois Counseling Center Inc'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 South Eastern Illinois Counseling Center Inc's NPI active?
- Yes — South Eastern Illinois Counseling Center Inc's NPI (1952589830) 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.