Wade M Stark
Wade M Stark is a Mental Health Counselor in Charleston, Illinois. Qualified in 2011, 15 years ago. Practices with Southern Illinois Healthcare Foundation Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 15
- Licensed in
- IL
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
626 W Lincoln AveCharleston, IL 61920-2444
Phone: (217) 345-7702
Fax: (217) 345-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180013660 (IL) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X |
Record details
| NPI number | 1801430988 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 1, 2019 |
| Last updated in NPPES | June 12, 2025 |
| Certification date | June 12, 2025 |
| Mailing address | 626 W Lincoln Ave, Charleston, IL 61920-2444 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Southern Illinois Healthcare Foundation Inc — 118 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Jane Elizabeth Wilson, MA, LCPC
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