MOULTRIE COUNTY MENTAL HEALTH CENTER
NPI 1811025240
Community/Behavioral Health in Sullivan, IL

Q: What is Moultrie County Mental Health Center's NPI number?

The NPI number for Moultrie County Mental Health Center is 1811025240. It was assigned to this organization in the NPPES registry on February 28, 2007.

Q: What is Moultrie County Mental Health Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 28, 2007

12 W HARRISON ST, SULLIVAN, IL 61951(217) 728-4358(217) 728-2270 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Moultrie County Mental Health Center NPPES

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

MOULTRIE COUNTY MENTAL HEALTH CENTER (NPI 1811025240) is a healthcare organization registered as a community/behavioral health in Sullivan, Illinois and active in the NPI registry since February 2007. The organization lists David L. Cole, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1811025240

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMOULTRIE COUNTY MENTAL HEALTH CENTER

Location Address12 W HARRISON STSullivan, IL 61951-1907

Mailing Address12 W Harrison StSullivan, IL 61951-1907 · (217) 728-4358 · Fax (217) 728-2270

Phone(217) 728-4358

Fax(217) 728-2270

Organization SubpartNo

Authorized OfficialDavid L. ColeExecutive Director · (217) 728-4358

Enumeration DateFebruary 28, 2007

Last NPPES UpdateJuly 25, 2016

✔ NPI 1811025240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in IL · 04105

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License A-0043-0002-A (IL)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 04105 (IL)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.005810 (IL), 178.004724 (IL), 180.003537 (IL)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149.011051 (IL)

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 36052881 (IL)

12 W HARRISON ST, Sullivan, IL 61951

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Other Identifiers 1

Medicare ID-Type Unspecified0360458IL · For Rohi Patil, Md

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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)

Moultrie County Mental Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Moultrie County Mental Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

David Cole, LCSW, LPHA

Clinical Social Worker

NPI 1164660775

12 W HARRISON ST
Sullivan, IL 61951

(217) 728-4358

✔ PECOS✔ Accepts MedicareSame address

Angela Schmohe

Clinical Social Worker

NPI 1457838179

12 W HARRISON ST
Sullivan, IL 61951

(217) 728-4358

✔ PECOS✔ Accepts Medicare0.1 mi

Katrina Murphy, MS, LCPC

Mental Health Counselor

NPI 1699102673

12 W. HARRISON ST.
Sullivan, IL 61951

(217) 728-4358

✔ PECOS0.1 mi

Rohidas Patil, MD

Psychiatry

NPI 1871601989

1770 E LAKESHORE DR STE 209
Decatur, IL 62521

(217) 423-6500

✔ PECOS✔ Accepts Medicare23 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 Moultrie County Mental Health Center's NPI number?

The NPI number for Moultrie County Mental Health Center is 1811025240. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Moultrie County Mental Health Center located?

Moultrie County Mental Health Center is located at 12 W Harrison St, Sullivan, IL 61951. The listed phone number is (217) 728-4358.

What is Moultrie County Mental Health Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Moultrie County Mental Health Center enrolled in Medicare?

Yes. Moultrie County Mental Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moultrie County Mental Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Moultrie County Mental Health Center, in Clinical Social Worker, Mental Health Counselor and Psychiatry. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Moultrie County Mental Health Center accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Moultrie County Mental Health Center 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 Moultrie County Mental Health Center was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.