Carbondale Dui & Counseling Associates, INC.
Counselor, Mental Health in Marion, IL. Organization (NPI-2).
NPI number1720775893
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1720775893
- Entity type
- Organization (NPI-2)
- Legal business name
- Carbondale Dui & Counseling Associates, INC.
- Organization subpart
- No
- Enumeration date
- Apr 19, 2023
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Other names
- Sage Counseling Of Southern Illinois (Doing Business As)
Practice location
502 S Court StMarion, IL 62959-2816
Phone 618-993-3013 · Fax 618-998-8018
Mailing address
502 S Court StMarion, IL 62959-2816
Phone 618-993-3013 · Fax 618-998-8018
Authorized official
Cortney M Grassl
Program Director
6189933013
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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