New Leaf Counseling Services, LLC
Community/Behavioral Health in Glen Carbon, IL. Organization (NPI-2).
NPI number1104101732
StatusActive
Last updated in NPPESOct 20, 2011
Details
- NPI
- 1104101732
- Entity type
- Organization (NPI-2)
- Legal business name
- New Leaf Counseling Services, LLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2011
- Last updated
- Oct 20, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
9 Junction Dr W Ste 2Glen Carbon, IL 62034-2931
Phone 618-980-2358 · Fax 618-205-3561
Mailing address
9 Junction Dr W Ste 2Glen Carbon, IL 62034-2931
Phone 618-980-2358 · Fax 618-205-3561
Authorized official
Jean McGurk O'Brien
Owner
6189802358
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