Individual provider Active NPI

Zachary Truex

  • Clinical Social Worker
  • Danville, IL
National Provider Identifier
1427692482
Registry record updated Nov 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021701 Issued in IL
Practice address
425 N Gilbert St Ste 5
Danville, IL 61832-5639
Phone
(217) 504-0131
NPI assigned
Nov 3, 2019
Last updated
Nov 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149021701 IL Primary

Addresses

Primary practice location

425 N Gilbert St Ste 5
Danville, IL 61832-5639

Mailing address

202 W Hill St Ste 4200
Champaign, IL 61820-8653

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL zachary@illumewellnesscenter.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821002103 IL Order and Referring Only - Clinical Social Worker 5991115867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1427692482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W HILL ST STE 4200",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618208653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N GILBERT ST STE 5",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325639",
            "telephone_number": "217-504-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEX",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zachary@illumewellnesscenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "425 N Gilbert St Ste 5",
            "city": "Danville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618325639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.