SUBSTANCE ABUSE OUTPATIENT
NPI 1649404708
Substance Abuse Rehabilitation Facility in Mt Vernon, IL

Q: What is Jefferson County Comprehensive's NPI number?

The NPI number for Jefferson County Comprehensive is 1649404708. It was assigned to this organization in the NPPES registry on May 5, 2009. The provider is also known as Substance Abuse Outpatient.

Q: What is Jefferson County Comprehensive's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since May 05, 2009

16338 N IL HWY 37, MT VERNON, IL 62864(618) 242-1994(618) 242-6392 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Substance Abuse Outpatient NPPES

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

SUBSTANCE ABUSE OUTPATIENT (NPI 1649404708) is a healthcare organization registered as a substance abuse rehabilitation facility in Mt Vernon, Illinois and active in the NPI registry since May 2009. The organization lists Daniel P Boehmer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649404708

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameJEFFERSON COUNTY COMPREHENSIVE

Location Address16338 N IL HWY 37Mt Vernon, IL 62864

Mailing AddressPo Box 428Mount Vernon, IL 62864-0054 · (618) 242-1994 · Fax (618) 242-6392

Phone(618) 242-1994

Fax(618) 242-6392

Organization SubpartNo

Authorized OfficialDaniel P BoehmerExecutive Director · (618) 242-1994

Enumeration DateMay 5, 2009

Last NPPES UpdateAugust 17, 2018

✔ NPI 1649404708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in IL · 002250003

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 002250003 (IL)

16338 N IL HWY 37, Mt Vernon, IL 62864

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Other Names 1

Other NameSubstance Abuse Outpatient

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Substance Abuse Outpatient is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Substance Abuse Outpatient, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Larry Knopp, MA LCPC

Mental Health Counselor

NPI 1679595458

16342 N IL HWY 37
Mt Vernon, IL 62864

(618) 242-1510

✔ PECOS✔ Accepts Medicare0.7 mi

Brandon Nabors, MA, QMHP

Mental Health Counselor

NPI 1891370524

16338 N IL HIGHWAY 37
Mount Vernon, IL 62864

(618) 242-1510

✔ PECOS0.7 mi

Angela Betters, DNP, APRN, PMHNP

Nurse Practitioner

NPI 1295442325

1201 RICKER RD
Salem, IL 62881

(618) 594-3194

✔ PECOS✔ Accepts Medicare19 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 Jefferson County Comprehensive's NPI number?

The NPI number for Jefferson County Comprehensive is 1649404708. It was assigned to this organization in the NPPES registry on May 5, 2009. The provider is also known as Substance Abuse Outpatient.

Where is Jefferson County Comprehensive located?

Jefferson County Comprehensive is located at 16338 N Il Hwy 37, Mt Vernon, IL 62864. The listed phone number is (618) 242-1994.

What is Jefferson County Comprehensive's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Jefferson County Comprehensive enrolled in Medicare?

Yes. Jefferson County Comprehensive is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson County Comprehensive?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jefferson County Comprehensive, in Mental Health Counselor and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jefferson County Comprehensive was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.