Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawnee Health Service & Development Corp

Organization Mental Health Counselor · NPI 1184542169

Shawnee Health Service & Development Corp is a Mental Health Counselor in Carterville, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109 California St Po Box 577
Carterville, IL 62918
Phone: (618) 519-9200
Fax: (618) 985-4635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1184542169
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShawnee Health Service & Development Corp
Authorized official Jeffrey Cooper — Ceo · (618) 956-9513
Other names Murphysboro Wellness Center
NPI enumeratedJuly 8, 2026
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address2125 Spruce St, Door W3, Murphysboro, IL 62966

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