COMMUNITY RESOURCE CENTER INC.
NPI 1245408491
Clinic/Center - Mental Health (Including Community Mental Health Center) in Vandalia, IL

Active since February 11, 2008
421 W MAIN ST, VANDALIA, IL 62471(618) 283-4229(618) 533-0012 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 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 1245408491) is a healthcare organization registered as a mental health (including community mental health center) in Vandalia, Illinois and active in the NPI registry since February 2008. The organization lists Georgianne Broughton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1245408491
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY RESOURCE CENTER INC.
Location Address421 W MAIN STVandalia, IL 62471-2214
Mailing Address904 E. Martin Luther King DriveCentralia, IL 62801-3506 · (618) 533-1391 · Fax (618) 533-0012
Fax(618) 533-0012
Organization SubpartNo
Authorized OfficialGeorgianne BroughtonExecutive Director · (618) 533-1391
Enumeration DateFebruary 11, 2008
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1245408491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
421 W MAIN ST, Vandalia, IL 62471

Other Identifiers 6

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

Accepted 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)

Nurse Practitioner
NPI 1295442325
1201 RICKER RD
Salem, IL 62881
(618) 594-3194
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1124838065
1201 RICKER RD
Salem, IL 62881
(618) 548-3194
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1508605197
1201 RICKER RD
Salem, IL 62881
(618) 975-4621
✔ PECOS✔ Accepts Medicare23 mi
Registered Dietitian or Nutrition Professional
NPI 1871047217
904 E MARTIN LUTHER KING DRIVE
Centralia, IL 62801
(618) 533-1391
30 mi
Nurse Practitioner
NPI 1497288492
2920 VETERANS MEMORIAL DR
Mount Vernon, IL 62864
(618) 244-6544
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1326093493
3412 OFFICE PARK DR
Marion, IL 62959
(618) 292-9999
✔ PECOS85 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 Community Resource Center Inc.'s NPI number?

The NPI number for Community Resource Center Inc. is 1245408491. It was assigned to this organization in the NPPES registry on February 11, 2008.

Where is Community Resource Center Inc. located?

Community Resource Center Inc. is located at 421 W Main St, Vandalia, IL 62471. The listed phone number is (618) 283-4229.

What is Community Resource 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 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.

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.