MENTAL HEALTH CENTERS OF WESTERN ILLINOIS NPI 1023300282

Community/Behavioral Health in Carthage, IL

NPI 1023300282 Organization Community/Behavioral Health

About MENTAL HEALTH CENTERS OF WESTERN ILLINOIS

Mental Health Centers Of Western Illinois is a provider established in Carthage, Illinois specializing in community/behavioral health. The NPI number of Mental Health Centers Of Western Illinois is 1023300282 and was assigned on May 2011. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Janelle Bowen (Chief Financial Officer)

NPI

1023300282

Provider NameMENTAL HEALTH CENTERS OF WESTERN ILLINOIS
Provider Location Address607 BUCHANAN ST CARTHAGE, IL 62321
Provider Mailing Address700 SE CROSS ST MOUNT STERLING, IL 62353
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-06-2011
Last Update Date05-06-2011


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
607 BUCHANAN ST
CARTHAGE, IL
ZIP 62321
Phone: (217) 773-3325
Fax: (217) 773-2425

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Mailing Address

MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
700 SE CROSS ST
MOUNT STERLING, IL
ZIP 62353
Phone: (217) 773-3325
Fax: (217) 773-2425



Authorized Official

Authorized Official Name JANELLE BOWEN
Authorized Official TitleCHIEF FINANCIAL OFFICER
Authorized Official Phone(217) 773-3325

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871713602 LINDSEY WAGNER
Individual
Counselor (Mental Health)607 BUCHANAN ST MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
CARTHAGE, IL 62321
(217) 357-3176
1548480379 TIFFANY SMITH
Individual
Counselor (Addiction (Substance Use Disorder))607 BUCHANAN ST MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
CARTHAGE, IL 62321
(217) 357-3176
1871705772 JEANNE E WESTBY
Individual
Registered Nurse607 BUCHANAN ST MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
CARTHAGE, IL 62321
(217) 357-3176
1548454945 KRISTY DYKEMA
Individual
Counselor (Mental Health)607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1215118401 MARLA JACQUOT
Individual
Licensed Practical Nurse607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1700056413 MELISSA DEMING
Individual
Counselor (Mental Health)607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1972761005 CHRIS GREENHALGE
Individual
Counselor607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 773-3325
1497903488 NIKOLOUS KUSTER
Individual
Counselor (Mental Health)607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1467783621 ANDREA LEA JONES BOLEY
Individual
Licensed Practical Nurse607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1487977617 RITA JO O'DONNELL
Individual
Social Worker607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 773-3325
1740596220MRS. TARA MONROE
Individual
Licensed Practical Nurse607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1578873527 LOUIS G. SISTO
Individual
Counselor (Mental Health)607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 773-3325
1326320417 KACI ELLEFRITZ
Individual
Counselor (Mental Health)607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1730335902 KELLY OVERTON
Individual
Counselor (Mental Health)607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1952705329 TIFFANY ROLLER
Individual
Licensed Practical Nurse607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1407254840 CHAD TAYLOR
Individual
Counselor (Mental Health)607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1851755276MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
Organization
Community/Behavioral Health607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1710335096MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
Organization
Day Training, Developmentally Disabled Services607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1518411800 KEELA NICHOLS
Individual
Social Worker607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176
1063930451 JENNIFER TEEL
Individual
Licensed Practical Nurse607 BUCHANAN ST
CARTHAGE, IL 62321
(217) 357-3176

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.