GRUNDY COUNTY HEALTH DEPARTMENT
NPI 1477686780
Clinic/Center - Mental Health (Including Community Mental Health Center) in Morris, IL

Active since March 14, 2007CLIA 14D0419575 · Waiver
1320 UNION ST, MORRIS, IL 60450(815) 941-3404(815) 941-2389 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grundy County Health Department NPPES

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

GRUNDY COUNTY HEALTH DEPARTMENT (NPI 1477686780) is a healthcare organization registered as a mental health (including community mental health center) in Morris, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Michelle L Pruim, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477686780
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRUNDY COUNTY HEALTH DEPARTMENT
Location Address1320 UNION STMorris, IL 60450-2426
Mailing Address1320 Union StMorris, IL 60450-2426 · (815) 941-3404 · Fax (815) 941-2389
Fax(815) 941-2389
Organization SubpartNo
Authorized OfficialMichelle L PruimAdministrator · (815) 941-3113
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 20, 2019
✔ NPI 1477686780 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
1320 UNION ST, Morris, IL 60450

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grundy County Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grundy County Health Department, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1659443810
4331 LINCOLN HWY STE E
Matteson, IL 60443
(708) 371-9700
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1336534791
1786 MOON LAKE BLVD SUITE 104
Hoffman Estates, IL 60169
(847) 755-8090
✔ PECOS✔ Accepts Medicare50 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

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 14D0419575

Grundy County Health Department · Morris, IL
Active · expires Aug 31, 2028
CLIA Number14D0419575
Laboratory TypePublic Health Laboratories
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKathryn Harrison
Laboratory Phone(815) 941-3113
Laboratory LocationGrundy County Health Department1320 Union Street, Morris, IL 60450
CLIA data matches this NPI record on: Address 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 Grundy County Health Department's NPI number?

The NPI number for Grundy County Health Department is 1477686780. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Grundy County Health Department located?

Grundy County Health Department is located at 1320 Union St, Morris, IL 60450. The listed phone number is (815) 941-3404.

What is Grundy County Health Department'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 Grundy County Health Department enrolled in Medicare?

Yes. Grundy County Health Department is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grundy County Health Department?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grundy County Health Department. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grundy County Health Department hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0419575) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grundy County Health Department was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.