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

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: August 09, 2026.

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

Other Providers at the Same Location NPPES 5

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

KATE WILLIAMS
Counselor (Mental Health)
16338 N IL HWY 37
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1510
JULIA W BALSOVER
Counselor (Addiction (Substance Use Disorder))
16338 N IL HWY 37
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1546
AMY CORRELL MHP
Case Manager/Care Coordinator
16338 N IL HWY 37
MT VERNON, IL 62864
Jefferson County (618) 242-1510
MATTHEW BRYAN
Counselor (Mental Health)
16338 N IL HWY 37
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1510
PHYLLIS HOWARD MSW
Counselor (Mental Health)
16338 N IL HWY 37
MT VERNON, IL 62864
Jefferson County (618) 242-1510

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.

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 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.