Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487105607 Individual Practitioner Female Practitioner

Renee Devore

Counselor • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Renee Devore is a registered healthcare professional specializing in Counselor in Belleville, IL. Practice services are available at 2900 FRANK SCOTT PKWY W STE 990 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2900 Frank Scott Pkwy W Ste 990

Belleville, IL 622235000

Telephone 6182366501
Fax 6182366551
Associated Practice Facility / Clinic
🏢 Pcs Mso, Llc Facility NPI 1932057189

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Belleville, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
370915481007 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jeffrey Chalfant , DO

Psychiatry & Neurology - Psychiatry

NPI 1811935166

Doctor of Osteopathic Medicine (D.O.)

NPI 1922310309

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated September 06, 2023

Recorded as RENEE DEVORE

📍
Updated Practice Location August 02, 2023

Registered at 2900 FRANK SCOTT PKWY W STE 990, BELLEVILLE, IL 622235000 (Tel: 6182366501)

NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2016

Registered at 904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 628013058 (Tel: 6185331391)

📍
Updated Business Mailing Address October 24, 2016

Registered at 904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 628013058 (Tel: 6185331391)

👤
Provider Name / Credentials Updated October 24, 2016

Recorded as RENEE PAHNKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2016

Counselor

🟢
Initial NPI Registration & Enumeration October 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487105607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2016
Last Update: September 06, 2023
Sole Proprietor: No

Mailing Address

904 E. Martin Luther King Drive

Centralia, IL 628013058

Phone: 6185331391

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.