Abbcon Counseling, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

A-6036-0001-A Issued in IL

Legal business name

ABBCON COUNSELING, INC.

Practice address

603 Monroe Ave
Charleston, IL 61920-2034

Phone

(217) 345-3156

Fax

(217) 345-3157

NPI assigned

Feb 13, 2013

Last updated

Feb 17, 2019By 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

Ashley A. Epperson, BS, CADC

Title

Owner/Director

Phone

(217) 345-3156

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Abbcon Counseling Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abbcon Counseling Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mattoon, IL
  • NPI 1487032769
  NPD tax ID

Locations

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550361600000",
    "number": "1457690216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MONROE AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202034",
            "telephone_number": "217-345-3156",
            "fax_number": "217-345-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MONROE AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202034",
            "telephone_number": "217-345-3156",
            "fax_number": "217-345-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Logan St",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384598",
            "country_code": "US",
            "telephone_number": "217-345-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABBCON COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2019-02-17",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "217-345-3156",
        "authorized_official_credential": "BS, CADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-6036-0001-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS-DASA",
            "identifier": "A-6036-0001-A",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS-DASA",
            "identifier": "A-6036-0004-A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addus Healthcare, Inc. (Addus HomeCare)
• Alyssa Ailey, MS, RD, LDN
• Chelsea Kay Allen-Labaume, M.S., LCPC
• Joan V Alvarado, MD
• At Home Care, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Charleston, IL
• Providers in Charleston, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.