MOULTRIE COUNTY MENTAL HEALTH CENTER
NPI 1811025240
Community/Behavioral Health in Sullivan, IL
NPI Status: Active since February 28, 2007
Contact Information
12 W HARRISON ST
SULLIVAN, IL
ZIP 61951
Phone: (217) 728-4358
Fax: (217) 728-2270
- Organization
- Community/Behavioral Health
- CLIA Number: 14D2164020
- CLIA Cert. Type: Other - COUNTY
- CLIA Exp. Date: 03-25-2027
About MOULTRIE COUNTY MENTAL HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Moultrie County Mental Health Center, a provider established in Sullivan, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1811025240 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X with license number 04105 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. Moultrie County Mental Health Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. David L. Cole Msw, Lcsw (Executive Director)
- NPI
- 1811025240
- Provider Name
- MOULTRIE COUNTY MENTAL HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 12 W HARRISON ST SULLIVAN, IL 61951
- Location Phone
- (217) 728-4358
- Location Fax
- (217) 728-2270
- Mailing Address
- 12 W HARRISON ST SULLIVAN, IL 61951
- Mailing Phone
- (217) 728-4358
- Mailing Fax
- (217) 728-2270
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2007
- Last Update Date
- 07-25-2016
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 04105
- License State
- IL
- Taxonomy Description
- 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.
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | A-0043-0002-A (IL) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 04105 (IL) |
| 3 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 180.005810 (IL) |
| 4 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 178.004724 (IL) |
| 5 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 180.003537 (IL) |
| 6 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 149.011051 (IL) |
| 7 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | 36052881 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0360458 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | FOR ROHI PATIL, MD |
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
- 14D2164020
- Facility Type
- Other - COUNTY
- Certificate Effective Date
- March 26, 2025
- Certificate Expiration Date
- March 25, 2027
- Laboratory Director
- JODI R. TRUSSELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Moultrie County Mental Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MOULTRIE COUNTY MENTAL HEALTH CENTER
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 1811025240, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811025240, enumerated as an "organization" on February 28, 2007.
The provider is located at 12 W HARRISON ST SULLIVAN, IL 61951 and the phone number is (217) 728-4358.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
