Centerstone of Illinois, Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · West Frankfort, IL
NPI 1053455667 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1053455667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- CENTERSTONE OF ILLINOIS, INC
- Practice address
- 902 W Main St
West Frankfort, IL 62896-2210 - Phone
- (618) 937-6483
- Fax
- (618) 937-1440
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stacy Phillips
- Title
- Director of Revenue Cycles
- Phone
- (618) 937-6483
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 15
Practitioners 81
-
Melissa Aaron, LCSW
-
Oyindamola O Aluko, MSN,APRN
-
Theresa Boyd, MS, LCPC
-
Amanda Denney, MSW, LCSW
-
Lindsey Doughty, MSW,LCSW
-
Teresa Annette Eblin, LSW
-
Deborah Felker, MSW, LCSW
-
Arif Habib, MD
-
Madison Victoria Hagene, MSW,LCSW
-
Peter N. Haller, MS, LCPC
-
Tracy Lynn Haynes, MA,LCPC
-
Deanna Jane Heller, M.A., LCPC
-
Margaret K Henry, MS,LCPC
-
Jerad Hernandez, MSW, LCSW
-
Lily Madison Holland, MSW, LCSW
-
Sandrarae Venita Hyatt, BS. MA
-
Lynda K Killoran, MA, LCPC
-
Alexandria Lafaye, MSW, LCSW
-
Anita Lea Lloyd, MS,LCPC
-
Robert E Lowry, LCPC
-
Frank Matlock, LCSW
-
Evelyn McGee, MS,LCPC
-
Kristina Monetti, MA,LCPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100209000763 | IL | Part B Supplier - Clinic/Group Practice | 2961545173 |
Receives reassigned benefits from 73 practitioners Practice locations: Anna, IL; West Frankfort, IL; Quincy, IL; Pittsfield, IL; Marion, IL; Carterville, IL; Carbondale, IL; Alton, IL |
National Provider Directory
- Tax ID family
- Franklin-Williamson Hum
Locations
800 N Main St
Anna, IL 62906
Phone (618) 833-4456
2311 S Illinois Ave
Carbondale, IL 62903
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
902 W Main St
West Frankfort, IL 62896-2210
Mailing address
902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351786086001 | Medicaid | IL |
Other providers in West Frankfort, IL
- Centerstone of Illinois Inc
- Centerstone of Illinois Inc
- Centerstone of Illinois Inc
- Centerstone of Illinois Inc
- Centerstone of Illinois, Inc
- Centerstone of Illinois, Inc
- Madeline Charles
- Yihnan Chiou
- City of West Frankfort
- Clark a Dixon DMD PC
All providers in West Frankfort, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.