Child and Family Counseling of Champaign

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHILD AND FAMILY COUNSELING OF CHAMPAIGN

Practice address

313 N Mattis Ave Ste 116
Champaign, IL 61821-7900

Phone

(224) 232-8057

Fax

(217) 888-2744

NPI assigned

Mar 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marilee Johnson, LCPCNPI 1295166783

Title

Owner

Phone

(242) 232-8057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marilee Johnson, LCPC

  • Professional Counselor
  • Champaign, IL
  • NPI 1295166783
  Medicare reassignment NPD Authorized official
• Mary Derbish, LSW

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1003506924
  Medicare reassignment NPD
• Chase Griffin, LCSW

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1942957493
  Medicare reassignment NPD
• Gayle Lewis, LSW

  • Social Worker
  • Champaign, IL
  • NPI 1083490320
  NPD (past)
• Emily Young, LSW

  • Social Worker
  • Champaign, IL
  • NPI 1710762752
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1053814848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LAVENDER DR",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749322",
            "telephone_number": "224-326-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N MATTIS AVE STE 116",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217900",
            "telephone_number": "224-232-8057",
            "fax_number": "217-888-2744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Lavender Dr",
            "address_purpose": "LOCATION",
            "city": "Savoy",
            "state": "IL",
            "postal_code": "618749322",
            "country_code": "US",
            "telephone_number": "224-326-1943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILD AND FAMILY COUNSELING OF CHAMPAIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARILEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "242-232-8057",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisi Chatman
• Sarah M Cheatham, NP
• Anne Chedister, MA., CCC-SLP/L
• Zesheng Chen, DMD
• Monica Danielle Cherry, MSW
• Children'S Home & Aid Society of Illinois
• Children'S Home and Aid Society of Illinois
• Denise Renee Childress, MSW,LSW
• Maria Christina Childress, AU.D.
• Mariah Chino, LSW

• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.