CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA (NPI# 1285693630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285693630 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA |
| Practice Address |
502 S Morris Ave Bloomington IL 61701-4884 |
| Mailing Address |
2900 W Heading Ave West Peoria IL 61604-4868 |
| Practice Telephone | 3096368041 |
| Practice Fax Number | 3096368097 |
| Mailing Telephone | 3096368012 |
| Mailing Fax Number | 3096741664 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | MS. PEGGY A. ARIZZI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3096368012 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730406893 | Catholic Charities of The Diocese of Peoria | Community/Behavioral Health | 603 N Center St, Bloomington, IL 61701-2981 | 2010-04-29 |
| 1891942785 | Catholic Charities of The Diocese of Peoria | Residential Treatment Facility, Emotionally Disturbed Children | 419 Ne Madison Ave, Peoria, IL 61603-3719 | 2008-08-21 |
| 1194042259 | Catholic Charities of The Diocese of Peoria | Community/Behavioral Health | 4703 44th St, Ste 4, Rock Island, IL 61201-7189 | 2010-04-29 |
| 1720305881 | Catholic Charities of The Diocese of Peoria | Community/Behavioral Health | 2900 W Heading Ave, Bldg G, West Peoria, IL 61604-4868 | 2010-04-29 |
| 1285951343 | Catholic Charities of The Diocese of Peoria | Community/Behavioral Health | 2900 W Heading Ave, Bldg E, West Peoria, IL 61604-4868 | 2010-04-29 |
| 1548587603 | Catholic Charities of The Diocese of Peoria | Community/Behavioral Health | 2900 W Heading Ave, West Peoria, IL 61604-4868 | 2010-04-29 |
| 1891012258 | Catholic Charities of The Diocese of Peoria | Community/Behavioral Health | 1315 Curt Dr Ste A, Champaign, IL 61821-1168 | 2010-04-26 |
| 1497072870 | Catholic Charities of The Diocese of Peoria | Community/Behavioral Health | 2100 5th St, Lincoln, IL 62656-9115 | 2010-04-26 |
| 1689991044 | Catholic Charities of The Diocese of Peoria | Case Management | 815 2nd St, La Salle, IL 61301-2509 | 2010-04-26 |
| Street Address |
502 S MORRIS AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-4884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869680 | Jennifer Lauren Woodrum | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2020-07-23 |
| 1154930394 | Lucas Sawisch | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2020-07-23 |
| 1467070037 | Jordan Wayne Schaefer | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2020-07-10 |
| 1568973279 | Jessica Wolf | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2017-10-20 |
| 1992230809 | Mychele Kenney | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2017-04-28 |
| 1255885570 | Ashley Langley | Nurse Practitioner | 502 S Morris Ave, Suite D, Bloomington, IL 61701-4884 | 2016-08-04 |
| 1144593088 | The Center for Youth and Family Solutions, Inc | Community/Behavioral Health | 502 S Morris Ave, Bloomington, IL 61701 | 2012-02-22 |
| 1669752960 | Immanuel Health Center | Clinic/Center | 502 S Morris Ave, Suite A, Bloomington, IL 61701-4884 | 2011-08-18 |
| 1861723470 | Pamala Ann Farnham | Social Worker | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2010-01-21 |
| 1366579906 | Stephanie Ann Barisch | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214159 | Amber Kinney, LLC | Clinic/Center | 623 S Washington St Apt A, Bloomington, IN 47401-5645 | 2020-10-28 |
| 1710585997 | Bloomington Neurofeedback | Clinic/Center | 1905 S Liberty Dr, Bloomington, IN 47403-5146 | 2020-10-11 |
| 1235744533 | Integrity Counseling, Inc. | Clinic/Center | 502 S Morris Ave Unit D, Bloomington, IL 61701-4891 | 2020-09-13 |
| 1326658568 | Jennifer Steinmetz Msw LLC | Clinic/Center | 115 N College Ave Ste 225, Bloomington, IN 47404-4099 | 2020-08-03 |
| 1376174904 | Karen Brosius LLC | Clinic/Center | 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 | 2020-02-02 |
| 1023675634 | County of Mclean | Clinic/Center | 200 W Front St Ste 400e, Bloomington, IL 61701-5048 | 2019-05-20 |
| 1982175212 | Blue Skies Counseling LLC | Clinic/Center | 200 W Monroe St # 302a, Bloomington, IL 61701-3997 | 2018-12-16 |
| 1740705946 | Sea Glass Counseling, LLC | Clinic/Center | 2103 E Washington St Ste 2f, Bloomington, IL 61701-4365 | 2017-08-08 |
| 1164813671 | Inspiring Enterprises, LLC | Clinic/Center | 202 N Prospect Rd, Suite 207, Bloomington, IL 61704-7914 | 2015-02-05 |
| 1659761633 | Minnesota Counseling and Therapy Center | Clinic/Center | 140 W 98th St Ste 105, Bloomington, MN 55420-4800 | 2015-01-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA.
| 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.