What is Willowglen Academy's NPI number?

Willowglen Academy's National Provider Identifier (NPI) is 1992474191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Willowglen Academy?

Willowglen Academy is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).

Where is Willowglen Academy located?

Willowglen Academy's practice location on file with NPPES is 980 Courtney Ln, Marengo, IL 60152-3375.

What is Willowglen Academy's phone number?

The practice phone number listed in the NPPES registry for Willowglen Academy is (815) 568-5418.

Who is the authorized official for Willowglen Academy?

The authorized official listed on Willowglen Academy's NPPES record is Kedrian Coleman, Director Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Willowglen Academy's NPI active?

Yes — Willowglen Academy's NPI (1992474191) is active in the NPPES registry as of the last update on 2021-09-10.

OrganizationActive

Willowglen Academy

NPI 1992474191 · Mental Illness Community Based Residential Treatment Facility · Marengo, IL

Willowglen Academy is a Mental Illness Community Based Residential Treatment Facility organization in Marengo, IL (NPI 1992474191).

Provider details

NPI number: 1992474191
Entity type: Organization
Primary specialty: Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Kedrian Coleman, Director Revenue Cycle(919) 709-0197

Practice location

980 Courtney Ln

Marengo, IL 60152-3375

Phone: (815) 568-5418

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

8521 Six Forks Rd Ste 300

Raleigh, NC 27615-5294

Specialties & taxonomies

Mental Illness Community Based Residential Treatment FacilityPrimary320800000X
Residential Treatment Facilities

Other names (DBA / former)

Doing business as: Broadstep Academy-Illinois Inc

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 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.

Enumerated: 2021-09-10
Last updated: 2021-09-10
Certified: 2021-08-25

Frequently asked questions

What is Willowglen Academy's NPI number?: Willowglen Academy's National Provider Identifier (NPI) is 1992474191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Willowglen Academy?: Willowglen Academy is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
Where is Willowglen Academy located?: Willowglen Academy's practice location on file with NPPES is 980 Courtney Ln, Marengo, IL 60152-3375.
What is Willowglen Academy's phone number?: The practice phone number listed in the NPPES registry for Willowglen Academy is (815) 568-5418.
Who is the authorized official for Willowglen Academy?: The authorized official listed on Willowglen Academy's NPPES record is Kedrian Coleman, Director Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Willowglen Academy's NPI active?: Yes — Willowglen Academy's NPI (1992474191) is active in the NPPES registry as of the last update on 2021-09-10.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions