The Pediatric Clinic for Behavioral Health, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE PEDIATRIC CLINIC FOR BEHAVIORAL HEALTH, PLLC

Practice address

6 Meadow Heights Professional Park
Collinsville, IL 62234-4471

Phone

(307) 999-6373

Fax

(618) 350-0083

NPI assigned

Sep 7, 2024

Organization subpart

No

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

Authorized official

Name

Bethany Radcliffe, LCPCNPI 1770244279

Title

Owner

Phone

(618) 493-2631

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bethany Radcliffe, LCPC, NCC, CCTP

  • Professional Counselor
  • Collinsville, IL
  • NPI 1770244279
  NPD Authorized official
• Audrey Crader

  • Professional Counselor
  • Collinsville, IL
  • NPI 1285561936

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782000000000",
    "number": "1982439931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEADOW HEIGHTS PROFESSIONAL PARK",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344471",
            "telephone_number": "618-493-2631",
            "fax_number": "618-350-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEADOW HEIGHTS PROFESSIONAL PARK",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344471",
            "telephone_number": "307-999-6373",
            "fax_number": "618-350-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC CLINIC FOR BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-07",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-493-2631",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tauc Il, PC
• Heather Danielle Taylor, DMD
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• Natalie Thacker
• April Thomas
• Amy Lynn Thompson, COTA/L, M.S CF-SLP
• Tina Kampwerth Counseling Inc
• TMC Homecare
• Today'S Dental Care

• All providers in Collinsville, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; 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.