COMMUNITY RESOURCE CENTER, INC
NPI 1770718439
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salem, IL
About Community Resource Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY RESOURCE CENTER, INC (NPI 1770718439) is a healthcare organization registered as a mental health (including community mental health center) in Salem, Illinois and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Georgianne Broughton, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Resource Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Community Resource Center, Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 14D2090498
Community Resource Center · Salem, ILFrequently 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 Community Resource Center, Inc's NPI number?
The NPI number for Community Resource Center, Inc is 1770718439. It was assigned to this organization in the NPPES registry on May 26, 2009.
Where is Community Resource Center, Inc located?
Community Resource Center, Inc is located at 315 Westgate, Salem, IL 62881. The listed phone number is (618) 548-2181.
What is Community Resource Center, Inc'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 Community Resource Center, Inc enrolled in Medicare?
Yes. Community Resource Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Resource Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Community Resource Center, Inc. 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. The largest specialties are Nurse Practitioner (5) and Registered Dietitian or Nutrition Professional (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Community Resource Center, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2090498) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Community Resource Center, Inc accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Community Resource Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Community Resource Center, Inc was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Community Resource Center, Inc · NPI 1770718439
Mental Health (Including Community Mental Health Center) organization in Salem, Illinois. Organization record, active in the CMS NPPES registry since May 26, 2009.
## Identity
- **NPI:** 1770718439 (Entity type: Organization)
- **Enumerated:** May 26, 2009
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Georgianne Broughton, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 315 WESTGATE, Salem, IL 62881
- **Phone:** (618) 548-2181 · **Fax:** (618) 548-1035
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Registered Dietitian or Nutrition Professional (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2020
- **Other identifiers:** Medicaid 04035 (IL); Other 671700 (IL)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1770718439) · Data from the CMS NPPES public registry.