CALMWATERS COUNSELING & RESOURCE CENTER INC – Professional Counselor, NPI 1134505829

CALMWATERS COUNSELING & RESOURCE CENTER INC is a healthcare provider. based in Godfrey, Illinois. specializing in Professional Counselor. The organization holds a License No. 149.009020 (IL). The NPI Number for CALMWATERS COUNSELING & RESOURCE CENTER INC is 1134505829

Main info

Organization
Name
CALMWATERS COUNSELING & RESOURCE CENTER INC
NPI
1134505829
Phone
(618) 334-1806
Address
4836 N ALBY RD
Authorized Official
AMY LYNN MINOR PRESIDENT/OWNER
Enumeration Date
4 August 2015
Last Update Date
13 June 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for CALMWATERS COUNSELING & RESOURCE CENTER INC

  • 4836 N ALBY RD

    GODFREY, IL 620351951

    Phone: (618) 334-1806

    Fax: (618) 551-2676

    Type: Location

  • PO BOX 786

    GODFREY, IL 62035

    Phone: (618) 466-0295

    Fax: (618) 551-2676

    Type: Mailing

  • 108 NORTHPORT DR

    ALTON, IL 620025904

    Phone: (618) 466-0295

    Fax: (618) 551-2676

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (833 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20150914002590OClinic/Group PracticeIL2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62035)

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Reviews

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Frequently asked questions

Does CALMWATERS COUNSELING & RESOURCE CENTER INC have a public NPI I can cite?
Public records show CALMWATERS COUNSELING & RESOURCE CENTER INC under NPI 1134505829.
Should I treat CALMWATERS COUNSELING & RESOURCE CENTER INC as an active provider?
Patients and plans typically see CALMWATERS COUNSELING & RESOURCE CENTER INC as active in the national extract.
What does the directory say CALMWATERS COUNSELING & RESOURCE CENTER INC does?
Insurance directories may phrase it differently, but here CALMWATERS COUNSELING & RESOURCE CENTER INC maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to CALMWATERS COUNSELING & RESOURCE CENTER INC?
The directory associates CALMWATERS COUNSELING & RESOURCE CENTER INC with Godfrey, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains CALMWATERS COUNSELING & RESOURCE CENTER INC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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