Provider Demographics
NPI:1821327453
Name:RINEHART, CARA MARGARET (LCPC AND CADC)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:MARGARET
Last Name:RINEHART
Suffix:
Gender:F
Credentials:LCPC AND CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62858-0067
Mailing Address - Country:US
Mailing Address - Phone:618-665-4532
Mailing Address - Fax:
Practice Address - Street 1:125 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:IL
Practice Address - Zip Code:62858
Practice Address - Country:US
Practice Address - Phone:618-665-4532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL12479101YA0400X
IL180-005909101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)