Champaign Counseling LLC
Organization Active NPI Clinical Social Worker · Savoy, IL
NPI 1770938359 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1770938359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CHAMPAIGN COUNSELING LLC
- Practice address
- 7 Dunlap CT
Savoy, IL 61874-9501 - Phone
- (217) 203-2008
- NPI assigned
- May 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sarah Olson, LCSW
- Title
- President
- Phone
- (217) 714-1322
Practitioners 9
-
Emily Lauren Beck, LCSW
-
Ben Bernstein, LCSW
-
Dana Lynn Baker, LCPC
-
Tara C Beckett, LCSW
-
Nicole M Lee, LSW
-
River O'Leary, LSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161212001745 | IL | Part B Supplier - Clinic/Group Practice | 9335429232 |
Receives reassigned benefits from 6 practitioners Practice locations: Champaign, IL; Savoy, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
7 Dunlap CT
Savoy, IL 61874-9501
Mailing address
PO Box 100
C/O: Erik Olson
Savoy, IL 61874-0100
Phone (217) 390-6671
Other providers in Savoy, IL
- Andrea Lynn Cardani
- Carle Arbours, Inc.
- Carle Arbours, Inc.
- Carol Claxon Counseling
- Guillermo D Castillo
- Champaign Regional Rehab Center LLC
- Champaign Urbana Nursing and Rehab LP
- Chittick SCC LLC
- Clark and Schulze NP Practice
- Brianna Coffey
All providers in Savoy, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.