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SUPPORTED RESIDENTIAL
NPI 1578266342
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bloomington, IL

Active since March 22, 2023
710 W MULBERRY ST, BLOOMINGTON, IL 61701(309) 827-0067 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supported Residential NPPES

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

SUPPORTED RESIDENTIAL (NPI 1578266342) is a healthcare organization registered as a mental health (including community mental health center) in Bloomington, Illinois and active in the NPI registry since March 2023. The organization lists June Peterson -middlebrooks, Accounts Receivable, as its authorized official.

NPPES Registry Identity

NPI1578266342
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSUPPORTED RESIDENTIAL
Location Address710 W MULBERRY STBloomington, IL 61701-2868
Mailing Address710 W Mulberry StBloomington, IL 61701-2868 · (309) 827-5351
Phone(309) 827-0067
Organization SubpartYesParent: Mclean Co Ctr For Human Services
Authorized OfficialJune Peterson -middlebrooksAccounts Receivable · (309) 827-5351
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1578266342 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
710 W MULBERRY ST, Bloomington, IL 61701
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Other Names 1

Other NameMclean County Center For Human Services

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 Supported Residential's NPI number?

The NPI number for Supported Residential is 1578266342. It was assigned to this organization in the NPPES registry on March 22, 2023. The provider is also known as Mclean County Center For Human Services.

Where is Supported Residential located?

Supported Residential is located at 710 W Mulberry St, Bloomington, IL 61701. The listed phone number is (309) 827-0067.

What is Supported Residential'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 Supported Residential was last updated on March 22, 2023. 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.