NPIMap

Organization Active NPI

Strader Rehabilitation and Consulting

  • Community/Behavioral Health Agency
  • Collinsville, IL
National Provider Identifier
1902081953
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STRADER REHABILITATION AND CONSULTING
Practice address
106 W Main St
Collinsville, IL 62234-3015
Phone
(618) 346-6641
Fax
(618) 346-6638
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jack Lee Strader, MS, CRC, LPC
Title
Owner
Phone
(618) 346-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IL Primary

Addresses

Primary practice location

106 W Main St
Collinsville, IL 62234-3015

Mailing address

106 W Main St
Collinsville, IL 62234-3015
Phone (618) 346-6641

National Provider Directory

National Provider Directory
Tax ID family
Strader Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

106 W Main St
Collinsville, IL 62234
Phone (618) 346-6641

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902081953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343015",
            "telephone_number": "618-346-6641",
            "fax_number": "618-346-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343015",
            "telephone_number": "618-346-6641",
            "fax_number": "618-346-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRADER REHABILITATION AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STRADER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-346-6641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CRC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.