IROQUOIS MENTAL HEALTH CENTER (NPI# 1336617869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336617869 |
| Entity Type | Organization |
| Organization Name | IROQUOIS MENTAL HEALTH CENTER |
| Practice Address |
411 W Division St Manteno IL 60950-1065 |
| Mailing Address |
Po Box 322 Watseka IL 60970-0322 |
| Practice Telephone | 8154325241 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Authorized Official Name | KIM FEAR (HR & FINANCE) |
| Authorized Official Telephone | 8154325241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649774225 | Iroquois Mental Health Center | Community/Behavioral Health | 1137 E 5000n Rd Ste K, Bourbonnais, IL 60914-4229 | 2018-03-20 |
| 1780188367 | Iroquois Mental Health Center | Community/Behavioral Health | 70 Meadowview Ctr Ste 100, Kankakee, IL 60901-2047 | 2018-03-20 |
| 1023568102 | Iroquois Mental Health Center | Clinic/Center | 107 N. 4th Street, Sheldon, IL 60966 | 2016-10-12 |
| 1609326792 | Iroquois Mental Health Center | Clinic/Center | 141 W Garfield Ave, Cissna Park, IL 60924-6128 | 2016-10-12 |
| 1467820845 | Iroquois Mental Health Center | Community/Behavioral Health | 619 N Chicago St, Rossville, IL 60963-1012 | 2015-09-02 |
| 1932470606 | Iroquois Mental Health Center | Community/Behavioral Health | 200 S. Locust St., Loda, IL 60948 | 2012-01-26 |
| 1902186414 | Iroquois Mental Health Center | Community/Behavioral Health | 107 N. Fourth Street, Sheldon, IL 60966 | 2011-08-29 |
| 1811277320 | Iroquois Mental Health Center | Community/Behavioral Health | 141 West Garfield Ave, Cissna Park, IL 60924 | 2011-08-29 |
| 1639734379 | Iroquois Mental Health Center | Community/Behavioral Health | 411 W Division St, Manteno, IL 60950-1065 | 2019-05-08 |
| 1952805814 | Iroquois Mental Health Center | Clinic/Center | 70 Meadowview Ctr Ste 100, Kankakee, IL 60901-2047 | 2018-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IROQUOIS MENTAL HEALTH CENTER | 323 W Mulberry St, Watseka, IL 60970-1568 |
| Street Address |
411 W DIVISION ST |
| City | MANTENO |
| State | IL |
| Zip Code | 60950-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194967786 | Margaret Garay Sullivan | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2009-03-30 |
| 1831729474 | Kenzie Taff | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2020-01-23 |
| 1134759954 | Emily Subach | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2020-01-21 |
| 1770113896 | Kayleigh Kastelein | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2020-01-16 |
| 1639734379 | Iroquois Mental Health Center | Community/Behavioral Health | 411 W Division St, Manteno, IL 60950-1065 | 2019-05-08 |
| 1730641077 | Russell Allee | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2019-04-04 |
| 1700348760 | Emily Valentine | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2019-04-01 |
| 1245799378 | Jerry Crockrell | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2019-03-18 |
| 1255802732 | Michele Forsythe | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2018-12-10 |
| 1669942413 | Helen Riberdy | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344338 | Specialized Assistance Services, Nfp | Clinic/Center | 333 W Evergreen St, Manteno, IL 60950 | 2016-01-27 |
| 1588004667 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 175 Evergreen, Manteno, IL 60950 | 2013-07-03 |
| 1649610841 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 325 Hemlock, Manteno, IL 60950 | 2013-07-02 |
| 1811337280 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 215 Hemlock, Manteno, IL 60950 | 2013-07-01 |
| 1407296981 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 365 Hemlock, Manteno, IL 60950 | 2013-06-28 |
| 1760822142 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 185 Chestnut, Manteno, IL 60950 | 2013-06-28 |
| 1598105975 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 280 Ironwood, Manteno, IL 60950 | 2013-06-28 |
| 1942640339 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 360 Ironwood, Manteno, IL 60950 | 2013-06-28 |
| 1215377692 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 Evergreen, Manteno, IL 60950 | 2013-06-28 |
| 1972862787 | Karl A Keller | Dentist | 312 W. Division, Manteno, IL 60950 | 2012-05-14 |
| Find all providers in zip 60950 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344338 | Specialized Assistance Services, Nfp | Clinic/Center | 333 W Evergreen St, Manteno, IL 60950 | 2016-01-27 |
| 1477012144 | Family Guidance Centers, Inc. | Clinic/Center | 333 W Evergreen St, Manteno, IL 60950-9329 | 2019-03-13 |
| 1326511882 | Family Guidance Centers, Inc. | Clinic/Center | 333 W Evergreen St, Manteno, IL 60950-9329 | 2019-01-08 |
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| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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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.