Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

South Eastern Illinois Counseling Center Inc

Addiction (Substance Use Disorder) Counselor in Olney, IL · enumerated 2005 · authorized official Glenn Jackson, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336137199

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Registry record

Entity type Organization (Type 2)

Legal business name South Eastern Illinois Counseling Center Inc

Practice address 504 Micah Drive, Drawer M, Olney, IL, 62450

Phone (618) 395-4306

Fax (618) 395-4507

Enumeration date Oct 6, 2005

Last updated in NPPES May 5, 2016

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Primary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary

Authorized official

Name Glenn Jackson

Title Executive Director

Phone (618) 395-4309

Other identifiers

Identifier	Type	State	Issuer
036037359	Medicaid	IL	-
343700207	Medicaid	IL	-
036072942	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is South Eastern Illinois Counseling Center Inc?

South Eastern Illinois Counseling Center Inc is registered in NPPES as a Addiction (Substance Use Disorder) Counselor (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-05.