MACON COUNTY MENTAL HEALTH BOARD (NPI# 1023222627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023222627 |
| Entity Type | Organization |
| Organization Name | MACON COUNTY MENTAL HEALTH BOARD |
| Practice Address |
132 S Water St Suite 604 Decatur IL 62523-1332 |
| Practice Telephone | 2174236199 |
| Practice Fax Number | 2174231035 |
| Mailing Telephone | 2174236199 |
| Mailing Fax Number | 2174231035 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | DENNIS J CROWLEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2174236199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MACON COUNTY MENTAL HEALTH BOARD | 132 S Water St Ste 604, Decatur, IL 62523-1061 |
| Street Address |
132 S WATER ST SUITE 604 |
| City | DECATUR |
| State | IL |
| Zip Code | 62523-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477092815 | Jacqlin Fair | Case Manager/Care Coordinator | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2017-02-17 |
| 1104375302 | Rebecca Miller | Case Manager/Care Coordinator | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2016-09-28 |
| 1467817460 | Ruthie Wheelock | Social Worker | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2015-12-18 |
| 1083011365 | Jill Book | Case Manager/Care Coordinator | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2014-12-02 |
| 1780095844 | Kaylee Johnston | Social Worker | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2014-05-12 |
| 1851713507 | Summer Lewis | Counselor | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2014-01-15 |
| 1477893964 | Tamela Danielle Pagel | Counselor | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2013-02-21 |
| 1255610192 | Melanie Welch | Counselor | 132 S Water St, Suite 630, Decatur, IL 62523-1332 | 2011-08-09 |
| 1023302130 | Linda L Warden-michl | Counselor | 132 S Water St, Suite 630, Decatur, IL 62523-1332 | 2011-06-06 |
| 1164730925 | Macon County Community Mental Health Board | Early Intervention Provider Agency | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2010-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1093091597 | Leesa K Reed | Social Worker | 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 | 2011-10-27 |
| 1407001357 | Pamela Sue Waterman | Counselor | 720 E. Wood St., Decatur, IL 62523 | 2008-11-19 |
| 1639231731 | Heritage Behavioral Health Center Inc. | Clinic/Center | 151 N Main Street, Decatur, IL 62523 | 2006-12-14 |
| 1669561080 | Diane S Pleasant | Counselor | 335 E Wood St Ste B, Decatur, IL 62523 | 2006-10-12 |
| 1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
| 1871117887 | Restore Wellness Counseling LLC | Social Worker | 106 North Main Street, Decatur, IL 62523 | 2020-06-04 |
| 1275004186 | Stephanie Maurer | Physician Assistant | 320 Central Ave, Decatur, IL 62523 | 2018-12-17 |
| 1174049209 | Patricia Shannon | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523 | 2017-08-21 |
| 1669673620 | Decatur Public School Dist. #61 | Local Education Agency (LEA) | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2007-05-29 |
| Find all providers in zip 62523 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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|---|---|---|---|---|
| 1942681580 | You and Me Corp | Case Management | One West Court Square, Suite 750, Decatur, GA 30030 | 2015-06-09 |
| 1760823256 | Urban Temple Studio 107 | Case Management | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2013-07-11 |
| 1588002380 | Before&after Supportive Housing Services | Case Management | 1434 Scott Blvd, Decatur, GA 30030-1424 | 2013-06-13 |
| 1982962155 | Terra T. Darrisaw | Case Management | 4526 Yorkdale Dr, Decatur, GA 30035-4253 | 2012-04-25 |
| 1972803021 | Garrett Consulting & Case Mgmt Svc | Case Management | 3013 Rainbow Dr., Suite 112e, Decatur, GA 30034-1644 | 2010-10-22 |
| 1346552478 | Jd Wallace Enterprises | Case Management | 4286 Memorial Dr Ste C, Suite B, Decatur, GA 30032-1221 | 2010-07-06 |
| 1205979986 | Morgan County Health Dept Epsdt Cm | Case Management | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-14 |
| 1992847172 | Prairieland Service Coordination Inc | Case Management | 4847 Us Route 36e, Decatur, IL 62521-9736 | 2007-02-13 |
| 1306907431 | Bridges for Families Incorporated | Case Management | 1524 Church St Ste E, Pmb175, Decatur, GA 30030-6500 | 2006-12-13 |
| 1033298005 | North Central Alabama Mental Retardation Authority, Inc. | Case Management | 445 East Moulton Street Ne, Decatur, AL 35602-0597 | 2006-11-02 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.