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JEFFERSON COUNTY COMPREHENSIVE
NPI 1972533990
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mt Vernon, IL

Active since July 04, 2006
16342 N IL HWY 37, MT VERNON, IL 62864(618) 242-1510(618) 242-0958 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2022, Dec 9, 2015 (2 updates tracked since 2015).

About Jefferson County Comprehensive NPPES

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

JEFFERSON COUNTY COMPREHENSIVE (NPI 1972533990) is a healthcare organization registered as a mental health (including community mental health center) in Mt Vernon, Illinois and active in the NPI registry since July 2006. The organization lists Dan Boehmer, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1972533990
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJEFFERSON COUNTY COMPREHENSIVE
Location Address16342 N IL HWY 37Mt Vernon, IL 62864
Mailing AddressPo Box 428Mt Vernon, IL 62864 · (618) 242-1510 · Fax (618) 242-0958
Phone(618) 242-1510
Fax(618) 242-0958
Organization SubpartNo
Authorized OfficialDan BoehmerC.e.o. · (618) 242-1510
Enumeration DateJuly 4, 2006
Last NPPES UpdateMay 9, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1972533990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
16342 N IL HWY 37, Mt Vernon, IL 62864
Open in Google Maps ↗

Other Identifiers 3

Other497770000Magellan
Other0004115177IL · Bcbs
Other372631Healthlink

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson County Comprehensive is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Jefferson County Comprehensive, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Brandon Nabors, MA, QMHP
Mental Health Counselor
NPI 1891370524
16338 N IL HIGHWAY 37
Mount Vernon, IL 62864
(618) 242-1510
✔ PECOSSame address
Larry Knopp, MA LCPC
Mental Health Counselor
NPI 1679595458
16342 N IL HWY 37
Mt Vernon, IL 62864
(618) 242-1510
✔ PECOS✔ Accepts MedicareSame address
Angela Betters, DNP, APRN, PMHNP
Nurse Practitioner
NPI 1295442325
1201 RICKER RD
Salem, IL 62881
(618) 594-3194
✔ PECOS✔ Accepts Medicare18 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 Jefferson County Comprehensive's NPI number?

The NPI number for Jefferson County Comprehensive is 1972533990. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Jefferson County Comprehensive located?

Jefferson County Comprehensive is located at 16342 N Il Hwy 37, Mt Vernon, IL 62864. The listed phone number is (618) 242-1510.

What is Jefferson County Comprehensive'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 Jefferson County Comprehensive enrolled in Medicare?

Yes. Jefferson County Comprehensive is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson County Comprehensive?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jefferson County Comprehensive, in Mental Health Counselor and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jefferson County Comprehensive was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.