KOLLEEN A ANTONACCI (LCPC) – Addiction (Substance Use Disorder) Counselor, NPI 1730513409

KOLLEEN A ANTONACCI (LCPC) is a healthcare provider. based in Carbondale, Illinois. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials LCPC. They hold a License No. 180.008168 (IL). The NPI Number for KOLLEEN A ANTONACCI (LCPC) is 1730513409

Main info

Female
Sole Proprietor
Name
KOLLEEN A ANTONACCI (LCPC)
NPI
1730513409
Phone
(618) 457-4044
Address
2015 W MAIN ST
Enumeration Date
29 August 2013
Last Update Date
29 August 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

Provider Addresses for KOLLEEN A ANTONACCI (LCPC)

  • 2015 W MAIN ST

    SUITE 103

    CARBONDALE, IL 629012073

    Phone: (618) 457-4044

    Fax: (618) 529-3834

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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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 62901)

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Reviews

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Frequently asked questions

What number should I use to identify KOLLEEN A ANTONACCI (LCPC) for billing?
Administrative and clinical systems typically use NPI 1730513409 for KOLLEEN A ANTONACCI (LCPC).
Quick check: is KOLLEEN A ANTONACCI (LCPC) active?
Public NPPES data shows KOLLEEN A ANTONACCI (LCPC) with an active NPI status right now.
What type of care does KOLLEEN A ANTONACCI (LCPC) provide?
KOLLEEN A ANTONACCI (LCPC)'s profile centers on Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KOLLEEN A ANTONACCI (LCPC)?
KOLLEEN A ANTONACCI (LCPC) is associated with Carbondale, Illinois in the same public data insurers reference.
Why is information missing for KOLLEEN A ANTONACCI (LCPC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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