CHESTNUT HEALTH SYSTEMS, INC.
NPI 1003194150
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pontoon Beach, IL
About Chestnut Health Systems, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHESTNUT HEALTH SYSTEMS, INC. (NPI 1003194150) is a healthcare organization registered as a mental health (including community mental health center) in Pontoon Beach, Illinois and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Megan Marie Taylor, Managed Care Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0894045
Chestnut Health Systems · Bloomington, ILOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PONTOON BEACH, IL 62040
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chestnut Health Systems, Inc.'s NPI number?
The NPI number for Chestnut Health Systems, Inc. is 1003194150. It was assigned to this organization in the NPPES registry on July 22, 2011.
Where is Chestnut Health Systems, Inc. located?
Chestnut Health Systems, Inc. is located at 3924 Oakmont Dr, Pontoon Beach, IL 62040. The listed phone number is (618) 797-2098.
What is Chestnut Health Systems, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Does Chestnut Health Systems, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0894045) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Chestnut Health Systems, Inc. was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chestnut Health Systems, Inc. · NPI 1003194150
Mental Health (Including Community Mental Health Center) organization in Pontoon Beach, Illinois. Organization record, active in the CMS NPPES registry since July 22, 2011.
## Identity
- **NPI:** 1003194150 (Entity type: Organization)
- **Enumerated:** July 22, 2011
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Megan Taylor, MANAGED CARE SUPERVISOR
## Practice location
- **Address:** 3924 OAKMONT DR, Pontoon Beach, IL 62040-4395
- **Phone:** (618) 797-2098
## Record status
- **NPPES last updated:** March 16, 2023
- **Other identifiers:** Medicaid 04023 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003194150) · Data from the CMS NPPES public registry.