Acorn Counseling & Mediation, LTD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149.016405 Issued in IL

Legal business name

ACORN COUNSELING & MEDIATION, LTD

Practice address

101 McCausland St
Carlinville, IL 62626-9133

Phone

(217) 930-2106

Fax

(217) 716-2265

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Spicer, LCSWNPI 1013376656

Title

Registered Agent

Phone

(217) 801-1242

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Acorn Counseling Mediation LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Acorn Counseling & Mediation, LTD

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Carlinville, IL
  • NPI 1285476622
  NPD tax ID

Locations

Practitioners 4

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

• Jessica Newby, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlinville, IL
  • NPI 1336626738
  Medicare reassignment Care Compare group NPD
• Andrea L Spicer, LCSW

  • Clinical Social Worker
  • Carlinville, IL
  • NPI 1083091615
  Medicare reassignment Care Compare group NPD
• Wayne Spicer Jr., LCSW

  • Clinical Social Worker
  • Carlinville, IL
  • NPI 1013376656
  NPD (past) Authorized official
• Kimberly Denae Washburn, LCSW

  • Clinical Social Worker
  • Taylorville, IL
  • NPI 1619481629
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1225490915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRESTWOOD DR",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261847",
            "telephone_number": "217-930-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MCCAUSLAND ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626269133",
            "telephone_number": "217-930-2106",
            "fax_number": "217-716-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN COUNSELING & MEDIATION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "217-801-1242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.016405",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.018235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acorn Counseling & Mediation, LTD
• Acorn Medical
• Advanced Family Dental & Orthodontics of Carlinville, PC
• Kim C Allison, RN
• Angelly Alvarez Collazo, LPC

• Community/Behavioral Health Agency in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.