YOUTH SERVICE BUREAU OF ILLINOIS VALLEY
NPI 1164757266
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ottawa, IL

Active since October 07, 2009
424 W MADISON ST, OTTAWA, IL 61350(815) 433-3953(815) 433-3980 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, May 4, 2021 (2 updates tracked since 2021).

About Youth Service Bureau Of Illinois Valley NPPES

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

YOUTH SERVICE BUREAU OF ILLINOIS VALLEY (NPI 1164757266) is a healthcare organization registered as a mental health (including community mental health center) in Ottawa, Illinois and active in the NPI registry since October 2009. The organization lists Lisa Kay Gustafson, Treatment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164757266
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameYOUTH SERVICE BUREAU OF ILLINOIS VALLEY
Location Address424 W MADISON STOttawa, IL 61350-2833
Mailing Address424 W Madison StOttawa, IL 61350-2833 · (815) 433-3953 · Fax (815) 433-3980
Fax(815) 433-3980
Organization SubpartNo
Authorized OfficialLisa Kay GustafsonTreatment Coordinator · (815) 431-3022
Enumeration DateOctober 7, 2009
Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
NPI 1164757266 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 · License 149.013808 (IL), 1041C0700X (IL)
424 W MADISON ST, Ottawa, IL 61350

Other Identifiers 1

Other149.013808IL · Licensed Clinical Social Worker

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
424 W MADISON ST
OTTAWA, IL 61350
Social Worker (Clinical)
424 W MADISON ST
OTTAWA, IL 61350
Counselor
424 W MADISON ST
OTTAWA, IL 61350
Counselor (Professional)
424 W MADISON ST
OTTAWA, IL 61350
Social Worker (Clinical)
424 W MADISON ST
OTTAWA, IL 61350
Social Worker (Clinical)
424 W MADISON ST
OTTAWA, IL 61350
Voluntary or Charitable
424 W MADISON ST
OTTAWA, IL 61350
Counselor
424 W MADISON ST
OTTAWA, IL 61350

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 Youth Service Bureau Of Illinois Valley's NPI number?

The NPI number for Youth Service Bureau Of Illinois Valley is 1164757266. It was assigned to this organization in the NPPES registry on October 7, 2009.

Where is Youth Service Bureau Of Illinois Valley located?

Youth Service Bureau Of Illinois Valley is located at 424 W Madison St, Ottawa, IL 61350. The listed phone number is (815) 433-3953.

What is Youth Service Bureau Of Illinois Valley'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.

When was this NPI record last updated?

The NPPES record for Youth Service Bureau Of Illinois Valley was last updated on September 20, 2022. 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.