Organization Active NPI

Calumet Counseling and Dui Services,Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Calumet City, IL
National Provider Identifier
1235564527
Registry record updated Feb 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A-3194-0001-A Issued in IL
Legal business name
CALUMET COUNSELING AND DUI SERVICES,INC
Practice address
1609 Sibley Blvd
Calumet City, IL 60409-2217
Phone
(708) 862-4054
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2017

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

Authorized official

Name
Dr. James E Beckett, M.D.
Title
Medical Director Owner
Phone
(708) 341-6707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-3194-0001-A IL Primary

Addresses

Primary practice location

1609 Sibley Blvd
Calumet City, IL 60409-2217

Mailing address

2 Carrington CT
Hazel Crest, IL 60429-2517
Phone (708) 341-6707

Other identifiers 1

IdentifierTypeStateIssuer
C/A-3194-0001-AMedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487462400000",
    "number": "1235564527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARRINGTON CT",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292517",
            "telephone_number": "708-341-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092217",
            "telephone_number": "708-862-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALUMET COUNSELING AND DUI SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2017-02-19",
        "status": "A",
        "authorized_official_last_name": "BECKETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OWNER",
        "authorized_official_telephone_number": "708-341-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-3194-0001-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C/A-3194-0001-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.