TAZWOOD MENTAL HEALTH CENTER, INC.
NPI 1134464316
Clinic/Center - Mental Health (Including Community Mental Health Center) in Eureka, IL

Active since November 29, 2012
101 S. MAJOR STREET, EUREKA, IL 61530(309) 694-6462(309) 347-4264 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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 1134464316) is a healthcare organization registered as a mental health (including community mental health center) in Eureka, Illinois and active in the NPI registry since November 2012. The organization lists David W. Mingus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134464316
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTAZWOOD MENTAL HEALTH CENTER, INC.
Location Address101 S. MAJOR STREETEureka, IL 61530
Mailing Address3248 Vandever AvePekin, IL 61554-6257 · (309) 347-5522 · Fax (309) 347-4264
Fax(309) 347-4264
Organization SubpartNo
Authorized OfficialDavid W. MingusCeo · (309) 347-5522
Enumeration DateNovember 29, 2012
Last NPPES UpdateJuly 12, 2018
✔ NPI 1134464316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
101 S. MAJOR STREET, Eureka, IL 61530

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

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Tazwood Mental Health Center, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 8

Mental Health Counselor5
Nurse Practitioner4
Psychiatry3
Clinical Social Worker2
Addiction Medicine1
Clinical Psychologist1
Family Practice1
Internal Medicine1

Clinicians, nearest first (18)

Family Practice
NPI 1518058619
1120 E WAR MEMORIAL DR
Peoria Heights, IL 61616
(309) 685-0100
✔ PECOS16 mi
Mental Health Counselor
NPI 1013620723
111 W WASHINGTON ST STE 230
East Peoria, IL 61611
(309) 477-5607
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1164196648
228 NE JEFFERSON AVE
Peoria, IL 61603
(309) 671-8297
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1497341994
228 NE JEFFERSON AVE
Peoria, IL 61603
(309) 671-8000
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1427603935
228 NE JEFFERSON AVE
Peoria, IL 61603
(309) 671-8000
✔ PECOS✔ Accepts Medicare17 mi
Mental Health Counselor
NPI 1922351139
228 NE JEFFERSON AVE
Peoria, IL 61603
(309) 671-8000
✔ PECOS17 mi
Internal Medicine
NPI 1790125193
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2000
✔ PECOS✔ Accepts Medicare17 mi
Addiction Medicine
NPI 1184624280
5401 N KNOXVILLE AVE SUITE 412
Peoria, IL 61614
(309) 692-4375
✔ PECOS✔ Accepts Medicare17 mi
Clinical Psychologist
NPI 1417575853
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts Medicare17 mi
Psychiatry
NPI 1689639213
3248 VANDEVER AVE
Pekin, IL 61554
(309) 347-5522
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1598190548
3248 VANDEVER AVE
Pekin, IL 61554
(309) 347-5579
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1356773717
3248 VANDEVER AVE
Pekin, IL 61554
(309) 347-5579
✔ PECOS21 mi
Mental Health Counselor
NPI 1013975648
1423 VALLE VISTA
Pekin, IL 61554
(309) 347-1148
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1174107494
3248 VANDEVER AVE STE A
Pekin, IL 61554
(309) 347-5522
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1821877010
3024 E EMPIRE ST STE A
Bloomington, IL 61704
(309) 556-7800
✔ PECOS✔ Accepts Medicare24 mi
Mental Health Counselor
NPI 1417677014
1001 ROHLWING RD
Elk Grove Village, IL 60007
(847) 524-8800
✔ PECOS✔ Accepts Medicare109 mi
Psychiatry
NPI 1548885791
1801 HICKMAN RD
Des Moines, IA 50314
(515) 282-8549
✔ PECOS✔ Accepts Medicare236 mi
Psychiatry
NPI 1285172239
1276 FULTON AVE 5TH FL SOUTH
Bronx, NY 10456
(718) 901-8653
✔ PECOS805 mi

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 1134464316. It was assigned to this organization in the NPPES registry on November 29, 2012.

Where is Tazwood Mental Health Center, Inc. located?

Tazwood Mental Health Center, Inc. is located at 101 S. Major Street, Eureka, IL 61530. The listed phone number is (309) 694-6462.

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). 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 July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.