AUNT MARTHA'S JOLIET EAST CMHC
NPI 1740909696
Clinic/Center - Mental Health (Including Community Mental Health Center) in Joliet, IL
NPI Status: Active since August 24, 2022
Contact Information
1200 EAGLE ST STE 102
JOLIET, IL
ZIP 60432
Phone: (877) 692-8686
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 14D2034926
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 01-05-2028
About AUNT MARTHA'S JOLIET EAST CMHC
This page provides the complete NPI Profile along with additional information for Aunt Martha's Joliet East Cmhc, a provider established in Joliet, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1740909696 assigned on August 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Aunt Martha's Joliet East Cmhc. The authorized official of this NPI record is Audrey Pennington (Coo)
- NPI
- 1740909696
- Provider Legal Name
- AUNT MARTHA'S HEALTH AND WELLNESS, INC.
- Other Organization Name
- AUNT MARTHA'S JOLIET EAST CMHC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1200 EAGLE ST STE 102 JOLIET, IL 60432
- Location Phone
- (877) 692-8686
- Mailing Address
- 19990 GOVERNORS HWY OLYMPIA FIELDS, IL 60461
- Mailing Phone
- (877) 692-8686
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2022
- Last Update Date
- 08-24-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2034926
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- January 06, 2026
- Certificate Expiration Date
- January 05, 2028
- Laboratory Director
- TAMARA CHUA LIM M D
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Aunt Martha's Joliet East Cmhc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for AUNT MARTHA'S JOLIET EAST CMHC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1740909696, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740909696, enumerated as an "organization" on August 24, 2022.
The provider is located at 1200 EAGLE ST STE 102 JOLIET, IL 60432 and the phone number is (877) 692-8686.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
