Organization
BACK TO BASICS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYMIE L MCCAMMON (LCSW)
(779) 220-0441
Entity
Organization
Contact information
Practice address
106 N MAIN ST, DECATUR, IL 62523-1207
(217) 821-8269
Mailing address
106 N MAIN ST, DECATUR, IL 62523-1207
(779) 220-0441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194099853
NPI 1
IL
Enumeration date
06/04/2020
Last updated
07/17/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up