Cari Collins, CADC
Individual provider Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Macomb, IL
NPI 1265004873 · NPPES record last updated Jul 13, 2021
Key facts
- NPI
- 1265004873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 35337 (IL)
- Practice address
- 900 S Deer Rd
Macomb, IL 61455-2639 - Phone
- (309) 344-2323
- Fax
- (309) 344-4368
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35337 | IL | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 35337 | IL | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 35337 | IL | Yes |
Addresses
Primary practice location
900 S Deer Rd
Macomb, IL 61455-2639
Mailing address
2323 Windish Dr
Galesburg, IL 61401-9780
Phone (309) 344-2323
Other names
- Caro Chambers
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kimmc@bway.org |
Other providers in Macomb, IL
- Megan Clemens
- Kirsten Diane Clerkin
- Hayley Coker
- Kathryn Coker
- Brigette Anne Colley
- Deborah Shaw Conner
- Caleb Ray Corrigan
- Counseling Cares P.C.
- Counseling Perspectives, LLC
- Countryside Care Center LLC
All providers in Macomb, IL · Substance Use Disorder Rehabilitation Clinic/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 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.