NPIMap

Organization Active NPI

Webster Cantrell Youth Advocacy

  • Mental Health Counselor
  • Decatur, IL
National Provider Identifier
1841830429
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WEBSTER CANTRELL YOUTH ADVOCACY
Practice address
1942 E Cantrell St
Decatur, IL 62521-3214
Phone
(217) 423-6961
Fax
(217) 421-6889
NPI assigned
Jan 10, 2020
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Mr. Michael Warner
Title
Ceo
Phone
(217) 423-6961

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Social Worker 104100000X NU
Registered Nurse 163W00000X NU

Addresses

Primary practice location

1942 E Cantrell St
Decatur, IL 62521-3214

Mailing address

1942 E Cantrell St
Decatur, IL 62521-3214
Phone (217) 423-6961

Other practice location 1

2749 N Norwood Ave
Decatur, IL 62526-1517
Phone (217) 233-0020

Other practice location 2

202 E Eldorado St
Decatur, IL 62523-1039
Phone (217) 422-7864

Other practice location 3

1220 Underwood Ct
Decatur, IL 62526-1983
Phone (217) 233-6811

Other practice location 4

3 Hilltop Dr
Decatur, IL 62521-4402
Phone (217) 542-5663

National Provider Directory

National Provider Directory
Tax ID family
Webster Cantrell Youth Advocacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1841830429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 E CANTRELL ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213214",
            "telephone_number": "217-423-6961",
            "fax_number": "217-421-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E CANTRELL ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213214",
            "telephone_number": "217-423-6961",
            "fax_number": "217-421-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2749 N Norwood Ave",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625261517",
            "country_code": "US",
            "telephone_number": "217-233-0020",
            "fax_number": "217-233-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 E Eldorado St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625231039",
            "country_code": "US",
            "telephone_number": "217-422-7864",
            "fax_number": "217-422-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Underwood Ct",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625261983",
            "country_code": "US",
            "telephone_number": "217-233-6811",
            "fax_number": "217-233-6810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hilltop Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625214402",
            "country_code": "US",
            "telephone_number": "217-542-5663",
            "fax_number": "217-330-8276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEBSTER CANTRELL YOUTH ADVOCACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-423-6961",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.