CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION (NPI# 1386965341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386965341 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION |
| Practice Address |
101 E 9th St Pana IL 62557-1716 |
| Mailing Address |
Po Box 438 Taylorville IL 62568-0438 |
| Practice Telephone | 2178244905 |
| Practice Fax Number | 2178243570 |
| Mailing Telephone | 2178244905 |
| Mailing Fax Number | 2178243570 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | BECKY CARROLL (RECORDS CLERK) |
| Authorized Official Telephone | 2178244905 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639490568 | Christian County Mental Health Association | Community/Behavioral Health | 500 E Bidwell St, Taylorville, IL 62568-1303 | 2010-06-15 |
| 1700107752 | Christian County Mental Health Association | Day Training, Developmentally Disabled Services | 703 Mcadam Dr, Taylorville, IL 62568-2300 | 2010-06-14 |
| 1093036048 | Christian County Mental Health Association | Day Training, Developmentally Disabled Services | 707 Mcadam Dr, Taylorville, IL 62568-0438 | 2010-06-14 |
| 1831267210 | Christian County Mental Health Association | Community/Behavioral Health | 730 N Pawnee St, Taylorville, IL 62568-1400 | 2006-12-01 |
| 1407216252 | Christian County Mental Health Association | Day Training, Developmentally Disabled Services | 703 Mcadam Dr, Taylorville, IL 62568-2300 | 2016-03-07 |
| Street Address |
101 E 9TH ST |
| City | PANA |
| State | IL |
| Zip Code | 62557-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422067 | Marlon Tan Muneses | Family Medicine | 101 E 9th St, Pana, IL 62557-1716 | 2005-10-24 |
| 1710501150 | Misty M Buffenmeyer | Nurse Practitioner | 101 E 9th St, Pana, IL 62557-1716 | 2020-06-02 |
| 1922509561 | Kaitlyn Rzasa | Dietitian, Registered | 101 E 9th St, Pana, IL 62557-1716 | 2018-02-27 |
| 1902355621 | Andrew James Casner | Specialist/Technologist | 101 E 9th St, Pana, IL 62557-1716 | 2016-09-22 |
| 1306292123 | Laurie Dobrinich | Social Worker | 101 E 9th St, Pana, IL 62557-1716 | 2016-05-11 |
| 1518327550 | Marc Scholes | Nurse Practitioner | 101 E 9th St, Pana, IL 62557-1716 | 2016-03-03 |
| 1508291790 | Shabaz Mohammad Begum | Family Medicine | 101 E 9th St, Pana, IL 62557-1716 | 2013-09-06 |
| 1649612771 | Blair Nicole Angel | Nurse Practitioner | 101 E 9th St, Pana, IL 62557-1716 | 2013-07-17 |
| 1619215860 | Pana Community Hospital Association | Clinic/Center | 101 E 9th St, Pana, IL 62557-1716 | 2013-01-23 |
| 1497019509 | Karen M Beck | Occupational Therapist | 101 E 9th St, Pana, IL 62557-1716 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033567805 | Joni Marie Lidy | Speech-Language Pathologist | 1000 E. 6th Street, Pana, IL 62557 | 2016-06-01 |
| 1750538237 | Nancy L. Simpson | Physical Therapy Assistant | 100 E 6th St. Rd., Pana, IL 62557 | 2008-08-26 |
| 1306093661 | Maiden Louise Axalan Bacolod | Physical Therapist | 900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 | 2008-08-19 |
| 1922128123 | Randall Dean Floyd | Dentist | 9 South State Street, Pana, IL 62557 | 2007-03-30 |
| 1114056363 | Laurie Cunnington | Family Medicine | 101 East Ninth St, Pana, IL 62557 | 2007-03-05 |
| 1871688390 | Donald Metzger | Pharmacist | 28 East Second, Pana, IL 62557 | 2006-10-03 |
| 1851486377 | John A Metzger | Pharmacist | 28 East Second Street, Pana, IL 62557 | 2006-10-03 |
| 1437228319 | Deogracias F Quizon | Family Medicine | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557 | 2006-11-07 |
| 1245437797 | Hickory Estates of Pana LLC | Assisted Living Facility | 101 N Hickory St, Pana, IL 62557-1040 | 2007-06-28 |
| 1235280058 | Alan Douglas Cyrus | Chiropractor | 103 W Washington St, Pana, IL 62557-1144 | 2007-01-16 |
| Find all providers in zip 62557 | ||||
| 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 |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
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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.