Individual provider Active NPI

Artemio B Cajigal Jr., COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • East Moline, IL
National Provider Identifier
1801049895
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
23115 Issued in IL
Practice address
708 15TH Ave
East Moline, IL 61244-2134
Phone
(563) 336-3000
Fax
(563) 336-3212
NPI assigned
Nov 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 45657 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 23115 IL Primary

Addresses

Primary practice location

708 15TH Ave
East Moline, IL 61244-2134

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231214000610 IA Practitioner - Mental Health Counselor 0749639896 Reassigns benefits to 1 organization
I20231220000820 IL Practitioner - Mental Health Counselor 0749639896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45657ILMDCounselor
23115ILMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Inc CurrentSince Jan 1, 2024 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community Health Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community Health Care, Inc. Current Accepting new patients

Locations

500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

125 Scott St
Davenport, IA 52801
Phone (563) 336-3221

2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410

708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1801049895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 15TH AVE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612442134",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAJIGAL",
        "first_name": "ARTEMIO",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "45657",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "23115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

Verify at the official NPI Registry.