Takir Cole, BA, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-222542 Issued in IN

Practice address

1205 W Main St
Marion, IL 62959-1137

Phone

(877) 467-3123

Fax

(618) 681-6824

NPI assigned

Sep 15, 2023

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• T'Kira Cole Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

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.

• Centerstone of Illinois, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Marion, IL
  • NPI 1376360552
  NPD
• Centerstone of Illinois, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Marion, IL
  • NPI 1871058149
  NPD

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1851179451",
    "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",
            "fax_number": "618-937-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591137",
            "telephone_number": "877-467-3123",
            "fax_number": "618-681-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "TAKIR",
        "credential": "BA, RBT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-22-222542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T'KIRA",
            "last_name": "COLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cneterstone of Illinois Inc
• Teresa Lynn Cocke, PHARM D
• Andrew Scott Cockrell, PHARMACIST
• Jonnah Deann Coffel, MSW, LCSW
• Karna Del Colby, M.D.
• Adam Lee Coleman, LCSW
• Taylor Coleman
• Michelle Collier
• Nicholas Colosi, MD
• Sandra Darlene Colson, RPH

• Behavior Technician in Marion, IL
• Providers in Marion, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.