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WEST LAKE RESIDENTIAL - BUILDING 220
NPI 1104071125
Community Based Residential Treatment Facility, Mental Illness in Springfield, IL

Active since November 18, 2008
200 W LAKE DR, BUILDING 220, SPRINGFIELD, IL 62703(217) 588-7934(217) 529-9803 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Feb 11, 2021 (2 updates tracked since 2021).

About West Lake Residential - Building 220 NPPES

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

WEST LAKE RESIDENTIAL - BUILDING 220 (NPI 1104071125) is a healthcare organization registered as a community based residential treatment facility, mental illness in Springfield, Illinois and active in the NPI registry since November 2008. The organization lists Ann Bowling, Director, as its authorized official.

NPPES Registry Identity

NPI1104071125
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameWEST LAKE RESIDENTIAL - BUILDING 220
Location Address200 W LAKE DR, BUILDING 220Springfield, IL 62703-4956
Mailing Address200 W Lake Dr Bldg 220Springfield, IL 62703-4956 · (217) 588-7934 · Fax (217) 529-9803
Phone(217) 588-7934
Fax(217) 529-9803
Organization SubpartYesParent: Mental Health Centers Of Central Illinois
Authorized OfficialAnn BowlingDirector · (217) 588-2626
Enumeration DateNovember 18, 2008
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1104071125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
200 W LAKE DR, Springfield, IL 62703
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Other Providers at the Same Location NPPES 7

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

MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Community Based Residential Treatment Facility, Mental Illness
200 W LAKE DR, BUILDING C
SPRINGFIELD, IL 62703
Sangamon County (217) 588-7932
JAMES L. WILKERSON LCPC
Counselor (Mental Health)
200 W LAKE DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9775
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Community Based Residential Treatment Facility, Mental Illness
200 W LAKE DR, BUILDING A
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9775
CYNTHIA S. MESTER PH.D.
Counselor (Mental Health)
200 W LAKE DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9775
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Community Based Residential Treatment Facility, Mental Illness
200 W LAKE DR, BUIDLING B
SPRINGFIELD, IL 62703
Sangamon County (217) 588-7931
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Community Based Residential Treatment Facility, Mental Illness
200 W LAKE DR, BUILDING E
SPRINGFIELD, IL 62703
Sangamon County (217) 588-7925
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Community Based Residential Treatment Facility, Mental Illness
200 W LAKE DR, BUILDING D
SPRINGFIELD, IL 62703
Sangamon County (217) 588-7933

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 West Lake Residential - Building 220's NPI number?

The NPI number for West Lake Residential - Building 220 is 1104071125. It was assigned to this organization in the NPPES registry on November 18, 2008.

Where is West Lake Residential - Building 220 located?

West Lake Residential - Building 220 is located at 200 W Lake Dr Building 220, Springfield, IL 62703. The listed phone number is (217) 588-7934.

What is West Lake Residential - Building 220's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for West Lake Residential - Building 220 was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.