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Active NPI 1396867420 Individual Practitioner Male Practitioner

John Robert Prain , CADC

Counselor • Macomb, IL

Professional Overview & Biography Verified Profile Summary

John Prain, CADC is a registered healthcare professional specializing in Counselor in Macomb, IL. Practice services are available at 900 S DEER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 S Deer Rd

Macomb, IL 614552639

Telephone 3098374876
Fax 3098331531
Associated Practice Facility / Clinic
🏢 Bridgeway, Inc Facility NPI 1982827499

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Macomb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Macomb, 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 22822

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IL 22822

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cadc
22822 (IL)
Commercial Insurance / Payer ID Fein Bway, Inc
370984175 (IL)

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1104394295

Qualified Mental Health Professional

Amanda Bolte , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1457625592

Certified Alcohol and Drug Counselor

Dorothy Loop , RN

Registered Nurse - Case Management

NPI 1629292123

Registered Nurse

Rachelle Mccoy , RNC

Registered Nurse - Case Management

NPI 1629292156
Kathleen Markey , RN

Registered Nurse - Case Management

NPI 1821217084

Registered Nurse

Crystal Stimpson , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1902385222

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 14, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2009

Registered at 900 S DEER RD, MACOMB, IL 614552639 (Tel: 3098374876)

📍
Updated Business Mailing Address April 14, 2009

Registered at PO BOX 566, AVON, IL 614150566 (Tel: 3094653949)

👤
Provider Name / Credentials Updated April 14, 2009

Recorded as JOHN PRAIN, CADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2009

Counselor (License #22822 in IL)

🟢
Initial NPI Registration & Enumeration April 06, 2007

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: 1396867420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2007
Last Update: April 14, 2009
Sole Proprietor: No

Mailing Address

Po Box 566

Avon, IL 614150566

Phone: 3094653949

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.