SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES
NPI 1932251758
Community/Behavioral Health in Carbondale, IL

Q: What is Southern Illinois Regional Social Services's specialty?

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

Active since January 18, 2007

604 E COLLEGE ST, CARBONDALE, IL 62901(618) 457-6703(618) 457-8377 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Illinois Regional Social Services NPPES

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

SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES (NPI 1932251758), doing business as Jackson County Community Mental Health, is a healthcare organization registered as a community/behavioral health in Carbondale, Illinois and active in the NPI registry since January 2007. The organization lists Karen S Freitag, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1932251758

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES

Location Address604 E COLLEGE STCarbondale, IL 62901-3309

Mailing Address604 East College StCarbondale, IL 62901-3309 · (618) 457-6703 · Fax (618) 457-8377

Phone(618) 457-6703

Fax(618) 457-8377

Organization SubpartYes

Authorized OfficialKaren S FreitagExecutive Director · (618) 457-6703

Enumeration DateJanuary 18, 2007

Last NPPES UpdateSeptember 15, 2010

✔ NPI 1932251758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in IL · A-0243-0001-A

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.

604 E COLLEGE ST, Carbondale, IL 62901

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Other Names 1

Former Legal Business NameJackson County Community Mental Health

Other Identifiers 3

Medicaid002IL

Medicaid=========001IL

Medicaid=========004IL

Other Providers at the Same Location NPPES 19

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

MS. GLENDA DALE MOYE R.N.

Registered Nurse