Rainbow Cafe Lgbtq Center

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

RAINBOW CAFE LGBTQ CENTER

Doing business as

Rainbow Community Health & Wellness

Practice address

900 E Walnut St Ste 6
Carbondale, IL 62901-3132

Phone

(618) 525-9922

NPI assigned

Aug 4, 2023

Last updated

Oct 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander R SocorroNPI 1275482879

Title

Director

Phone

(618) 525-9922

Specialties & licenses 4

Addresses

Other names 1

• Rainbow Community Health & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander R Socorro, MA, CPT, RSS, CHW

  • Phlebotomy Technician
  • Carbondale, IL
  • NPI 1275482879

  Peer Specialist

  NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1457033763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011450",
            "telephone_number": "618-525-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WALNUT ST STE 6",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013132",
            "telephone_number": "618-525-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CAFE LGBTQ CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "SOCORRO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-525-9922"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Community Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Wayne Pyle, CRNA
• Debra Renee Queen, R.D.
• Gloria Queriapa-Valdes, BAS, CD (DONA)
• Radiologic Interpretations of Southern Illinois LTD
• Michael Rafati, MD
• Srinivas Rajamahanty, M.D.
• Daniel Ralls, PA
• Susan M Ramirez, PH.D.
• Sujatha Anasapurapu Rao, M.D.
• Rassik Complete Recovery Inc

• Adolescent and Children Mental Health Clinic/Center in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.