Organization Active NPI

Kids' Cornerstone, LLC- a Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Carbondale, IL
National Provider Identifier
1447461587
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
180.006328 Issued in IL
Legal business name
KIDS' CORNERSTONE, LLC- A COUNSELING CENTER
Practice address
1257 E Walnut St
Suite 1
Carbondale, IL 62901-5002
Phone
(618) 351-9700
Fax
(618) 351-9701
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Valerie H. Kasten, LCPCNPI 1316339021
Title
Managing Partner
Phone
(618) 351-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 180.006328 IL Primary

Addresses

Primary practice location

1257 E Walnut St
Suite 1
Carbondale, IL 62901-5002

Mailing address

PO Box 2625
Carbondale, IL 62902-2625
Phone (618) 351-9700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1447461587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2625",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629022625",
            "telephone_number": "618-351-9700",
            "fax_number": "618-351-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 E WALNUT ST",
            "address_2": "SUITE 1",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015002",
            "telephone_number": "618-351-9700",
            "fax_number": "618-351-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS' CORNERSTONE, LLC- A COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "KASTEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "618-351-9700",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "180.006328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.