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COMMUNITY RESOURCE CENTER INC.
NPI 1154599884
Clinic/Center - Rehabilitation, Substance Use Disorder in Carlyle, IL

Active since February 15, 2008CLIA Certified · 2 labs
580 8TH ST, CARLYLE, IL 62231(618) 594-4581(618) 533-0012 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2021, Jul 13, 2018 (2 updates tracked since 2018).

About Community Resource Center Inc. NPPES

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

COMMUNITY RESOURCE CENTER INC. (NPI 1154599884) is a healthcare organization registered as a rehabilitation, substance use disorder in Carlyle, Illinois and active in the NPI registry since February 2008. The organization holds 2 active CLIA laboratory certificates and lists Georgianne Broughton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154599884
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOMMUNITY RESOURCE CENTER INC.
Location Address580 8TH STCarlyle, IL 62231-1803
Mailing Address904 E. Martin Luther King DriveCentralia, IL 62801-3506 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 594-4581
Fax(618) 533-0012
Organization SubpartNo
Authorized OfficialGeorgianne BroughtonExecutive Director · (618) 533-1391
Enumeration DateFebruary 15, 2008
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1154599884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
580 8TH ST, Carlyle, IL 62231
Open in Google Maps ↗

Other Identifiers 6

Medicaid04035IL
OtherA-00235-0002-AIL · Dhs License Number
OtherA-00235-0003-AIL · Dhs License Number
Other6115207IL · Blue Cross
OtherA-00235-0004-AIL · Dhs License Number
OtherA-00235-0001-AIL · Dhs License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Resource Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Community Resource Center Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Stephanie Pitt, RDN, LPC
Registered Dietitian or Nutrition Professional
NPI 1871047217
904 E MARTIN LUTHER KING DRIVE
Centralia, IL 62801
(618) 533-1391
14 mi
Angela Betters, DNP, APRN, PMHNP
Nurse Practitioner
NPI 1295442325
1201 RICKER RD
Salem, IL 62881
(618) 594-3194
✔ PECOS✔ Accepts Medicare23 mi
Tara Fleeman
Nurse Practitioner
NPI 1124838065
1201 RICKER RD
Salem, IL 62881
(618) 548-3194
✔ PECOS✔ Accepts Medicare23 mi
Alexa Wurm, PMHNP-BC
Nurse Practitioner
NPI 1508605197
1201 RICKER RD
Salem, IL 62881
(618) 975-4621
✔ PECOS✔ Accepts Medicare23 mi
Diana Tomlianovich, PMHNP-BC
Nurse Practitioner
NPI 1497288492
2920 VETERANS MEMORIAL DR
Mount Vernon, IL 62864
(618) 244-6544
✔ PECOS✔ Accepts Medicare32 mi
Sandra Tate, APN, PMNCNS-BC
Nurse Practitioner
NPI 1326093493
3412 OFFICE PARK DR
Marion, IL 62959
(618) 292-9999
✔ PECOS64 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 14D2090504

Community Resource Center · Centralia, IL
Active · expires Jan 25, 2027
CLIA Number14D2090504
Laboratory TypeOtpt Substance Abuse Ctr
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorGeorgianne Broughton
Laboratory Phone(618) 533-1391
Laboratory LocationCommunity Resource Center904 E Martin Luther King Dr, Centralia, IL 62801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2090501

Community Resource Center · Carlyle, IL
Active · expires Jan 25, 2027
CLIA Number14D2090501
Laboratory TypeOtpt Substance Abuse Ctr
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorGeorgianne Broughton
Laboratory Phone(618) 594-4581
Laboratory LocationCommunity Resource Center580 Eighth St, Carlyle, IL 62231
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Community Resource Center Inc.'s NPI number?

The NPI number for Community Resource Center Inc. is 1154599884. It was assigned to this organization in the NPPES registry on February 15, 2008.

Where is Community Resource Center Inc. located?

Community Resource Center Inc. is located at 580 8th St, Carlyle, IL 62231. The listed phone number is (618) 594-4581.

What is Community Resource Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Community Resource Center Inc. enrolled in Medicare?

Yes. Community Resource Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Resource Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Community Resource 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 Nurse Practitioner (5) and Registered Dietitian or Nutrition Professional (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Resource Center Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Community Resource Center Inc. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Community Resource Center Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Resource Center Inc. was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.