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HERITAGE BEHAVIORAL HEALTH CENTER INC.
NPI 1023708880
Clinic/Center - Primary Care in Decatur, IL

Active since May 15, 2023CLIA 14D1051957 · Waiver
151 N MAIN ST, DECATUR, IL 62523(217) 362-6262(217) 362-6290 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2023, May 15, 2023 (2 updates tracked since 2023).

About Heritage Behavioral Health Center Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE BEHAVIORAL HEALTH CENTER INC. (NPI 1023708880) is a healthcare organization registered as a primary care in Decatur, Illinois and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Mary Garrison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023708880
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHERITAGE BEHAVIORAL HEALTH CENTER INC.
Location Address151 N MAIN STDecatur, IL 62523-1206
Mailing Address151 N Main StDecatur, IL 62523-1206 · (217) 362-6262 · Fax (217) 362-6290
Phone(217) 362-6262
Fax(217) 362-6290
Organization SubpartNo
Authorized OfficialMary GarrisonCeo · (217) 362-6262
Enumeration DateMay 15, 2023
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1023708880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
151 N MAIN ST, Decatur, IL 62523
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 14D1051957

Heritage Behavioral Health Center · Decatur, IL
Active · expires Mar 14, 2028
CLIA Number14D1051957
Laboratory TypeCcbhc
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorCourtney S. Cox
Laboratory Phone(217) 362-6262
Laboratory LocationHeritage Behavioral Health Center151 N Main St, Decatur, IL 62523
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE A RAY
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
CATHY JOHANSEN L.P.N.
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
MATYA LEANN RILEY FNP-C
Nurse Practitioner (Family)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
ADDIE L SMITH LSW
Social Worker
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
BARBARA L PICKETT
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
MICHELLE HANSON LCPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
LESA J MCMAHON-LOWE LCPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 420-4776
KELLY THURSTON LPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262

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 Heritage Behavioral Health Center Inc.'s NPI number?

The NPI number for Heritage Behavioral Health Center Inc. is 1023708880. It was assigned to this organization in the NPPES registry on May 15, 2023.

Where is Heritage Behavioral Health Center Inc. located?

Heritage Behavioral Health Center Inc. is located at 151 N Main St, Decatur, IL 62523. The listed phone number is (217) 362-6262.

What is Heritage Behavioral Health Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Heritage Behavioral Health Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1051957) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heritage Behavioral Health Center Inc. was last updated on June 1, 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.