Active NPI
Adam Mayfield
- Counselor
- Marion, IL
National Provider Identifier
1659974913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- Centerstone of Illinois Inc
202 South Bentley
Marion, IL 62959 - Phone
- (855) 608-3560
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | Primary |
Addresses
Primary practice location
Centerstone of Illinois Inc
202 South Bentley
Marion, IL 62959
Mailing address
902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL2970 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Centerstone |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1659974913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 W MAIN ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628962210",
"telephone_number": "618-937-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTERSTONE OF ILLINOIS INC",
"address_2": "202 SOUTH BENTLEY",
"city": "MARION",
"state": "IL",
"postal_code": "62959",
"telephone_number": "855-608-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYFIELD",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IL2970",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Centerstone",
"affiliation": "N",
"address_1": "Centerstone Of Illinois Inc",
"address_2": "202 South Bentley",
"city": "Marion",
"state": "IL",
"country_code": "US",
"postal_code": "62959",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.