TAZWOOD MENTAL HEALTH CENTER, INC.
NPI 1083671127
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pekin, IL
About Tazwood Mental Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAZWOOD MENTAL HEALTH CENTER, INC. (NPI 1083671127) is a healthcare organization registered as a mental health (including community mental health center) in Pekin, Illinois and active in the NPI registry since May 2006. The organization lists Dave Walter Mingus, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tazwood Mental Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Tazwood Mental Health Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tazwood Mental Health Center, Inc.'s NPI number?
The NPI number for Tazwood Mental Health Center, Inc. is 1083671127. It was assigned to this organization in the NPPES registry on May 1, 2006.
Where is Tazwood Mental Health Center, Inc. located?
Tazwood Mental Health Center, Inc. is located at 3248 Vandever Ave, Pekin, IL 61554. The listed phone number is (309) 347-5522.
What is Tazwood Mental Health Center, 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.
Is Tazwood Mental Health Center, Inc. enrolled in Medicare?
Yes. Tazwood Mental Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tazwood Mental Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 8 Medicare specialties reassign their Medicare billing to Tazwood Mental Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (5), Nurse Practitioner (4) and Psychiatry (3). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tazwood Mental Health Center, Inc. was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Tazwood Mental Health Center, Inc. · NPI 1083671127
Mental Health (Including Community Mental Health Center) organization in Pekin, Illinois. Organization record, active in the CMS NPPES registry since May 1, 2006.
## Identity
- **NPI:** 1083671127 (Entity type: Organization)
- **Enumerated:** May 1, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Dave Mingus, CEO
## Practice location
- **Address:** 3248 VANDEVER AVE, Pekin, IL 61554
- **Phone:** (309) 347-5522 · **Fax:** (309) 347-4264
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (5), Nurse Practitioner (4), Psychiatry (3); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2017
- **Other identifiers:** Medicare UPIN 949000
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Source: [NPI Profile](https://npiprofile.com/npi/1083671127) · Data from the CMS NPPES public registry.