LAWRENCE COUNTY HEALTH DEPT (NPI# 1326454356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326454356 |
| Entity Type | Organization |
| Organization Name | LAWRENCE COUNTY HEALTH DEPT |
| Other Organization Name | LAWRENCE COUNTY BEHAVIOR HEALTH |
| Practice Address |
11020 State Route 250 Lawrenceville IL 62439-3379 |
| Practice Telephone | 6189433754 |
| Practice Fax Number | 6189433657 |
| Mailing Telephone | 6189433754 |
| Mailing Fax Number | 6189433657 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | MS. ASHLEE BRIANNE FEHRENBACHER (DIRECTOR/BEHAVIOR HEALTH) |
| Authorized Official Telephone | 6189433754 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036072942 | 05 |
| Other Name | Type Code |
|---|---|
| Lawrence County Behavior Health | Doing Business As Name - Organization |
| Street Address |
11020 STATE ROUTE 250 |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770515728 | Kimothy Ann Fulk | Nurse Practitioner | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2006-07-07 |
| 1417511619 | Jodi Stone | Counselor | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2019-04-24 |
| 1396200531 | Andrew F. Caldwell | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2019-02-01 |
| 1679065742 | Marissa Beth Hake | Registered Nurse | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2018-06-04 |
| 1649773946 | Angela Parish | Nurse Practitioner | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2018-03-13 |
| 1144739194 | Logan Kermicle | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2017-09-21 |
| 1578018172 | Leslie K Shan | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2016-08-24 |
| 1982055687 | David Patrick Penk | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2016-06-24 |
| 1366824559 | Emily Michele Brown | Counselor | 11020 State Route 250, Lawrenceville, IL 62439 | 2015-06-24 |
| 1205233822 | Jenna Gonzalez | Counselor | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1730725862 | The Arc/mercer Inc. | Community/Behavioral Health | 28 Freedom Ct, Lawrenceville, NJ 08648-4552 | 2019-11-25 |
| 1558907683 | The Arc/mercer Inc. | Community/Behavioral Health | 30 Freedom Ct, Lawrenceville, NJ 08648-4552 | 2019-11-25 |
| 1659930279 | Smart Guobadia | Community/Behavioral Health | 1174 Mckendree Church Rd Ste 100, Lawrenceville, GA 30043-6000 | 2019-06-07 |
| 1518459270 | Eagle Counseling & Consulting LLC | Community/Behavioral Health | 1561 Bramlett Hill Ln, Lawrenceville, GA 30045-2601 | 2018-05-30 |
| 1457871782 | Serv Achievement Centers Inc | Community/Behavioral Health | 6 Wilk Ct, Lawrenceville, NJ 08648-1463 | 2017-06-27 |
| 1699206177 | Hrs Consulting LLC | Community/Behavioral Health | 800 Livery Cir, Lawrenceville, GA 30046-9345 | 2017-03-25 |
| 1487106563 | Village Life,llc | Community/Behavioral Health | 569 Granite Ct, Lawrenceville, GA 30044-6931 | 2016-10-25 |
| 1679955132 | Arc Mercer, Inc | Community/Behavioral Health | 2350 Princeton Pike, Apt 425, Lawrenceville, NJ 08648-3937 | 2015-06-22 |
| 1740662204 | Arc Mercer, Inc | Community/Behavioral Health | 423 Lawrenceville Rd, Apt 510, Lawrenceville, NJ 08648-4229 | 2015-06-22 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
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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.