COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. (NPI# 1487165577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487165577 |
| Entity Type | Organization |
| Organization Name | COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. |
| Other Organization Name | LIFELINKS MENTAL HEALTH |
| Practice Address |
1275 Hawthorn Rd Salem IL 62881-1028 |
| Mailing Address |
750 Broadway Ave E Mattoon IL 61938-4610 |
| Practice Telephone | 2172385700 |
| Practice Fax Number | 2172385767 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | LYNETTE ASHMORE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2172385700 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LifeLinks Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568900454 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 302 N Mill St, Greenup, IL 62428 | 2017-02-10 |
| 1083892327 | Coles County Mental Health Association, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1305 Wabash Ave, Mattoon, IL 61938-4019 | 2008-02-08 |
| 1548448913 | Coles County Mental Health Association, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1504 20th St, Charleston, IL 61920-3615 | 2008-02-07 |
| 1164600979 | Coles County Mental Health Association, Inc. | Community Based Residential Treatment Facility, Mental Illness | 415 18th St, Charleston, IL 61920-2399 | 2008-02-04 |
| 1942203914 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2005-05-24 |
| 1669084877 | Coles County Mental Health Association, Inc. | Clinic/Center | 1701 S Prospect Ave Ste 205, Champaign, IL 61820-7054 | 2020-08-19 |
| 1053763250 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 626 W Lincoln Ave, Charleston, IL 61920-2444 | 2016-07-12 |
| 1154788545 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 700 Broadway Ave E, Mattoon, IL 61938-4671 | 2016-01-15 |
| 1831213669 | Coles County Mental Health Association, Inc. | Private Vehicle | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2007-03-19 |
| Street Address |
1275 HAWTHORN RD |
| City | SALEM |
| State | IL |
| Zip Code | 62881-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376539783 | Joseph Lee Easley | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2005-09-21 |
| 1356796874 | Amy L. Mclean | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2016-05-03 |
| 1225490816 | Melissa J Kohnen | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2016-03-23 |
| 1790196244 | Lori Landreth | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2014-05-17 |
| 1952517831 | Sharon Sue Szatkowski | Clinical Nurse Specialist | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2007-05-15 |
| 1154542132 | Seth Hahs | Internal Medicine | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2007-05-01 |
| 1174619555 | Luecha Rutngamlug | General Practice | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2006-10-05 |
| 1780779405 | Armando P. Aguilar | Family Medicine | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2006-10-04 |
| 1679672273 | Aristides J. Garces | Family Medicine | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2006-09-21 |
| 1356352165 | Deborah L Malone | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
| 1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
| 1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
| 1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
| 1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
| 1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
| 1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
| 1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
| 1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
| 1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
| Find all providers in zip 62881 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1821696667 | Just for You Counseling | Clinic/Center | 130 Main St Ste 201d, Salem, NH 03079-3173 | 2020-10-14 |
| 1700164878 | Act II Psychology, Inc. | Clinic/Center | 189 Liberty St., Se, Suite 210a, The Reed Opera House, Salem, OR 97301 | 2011-07-23 |
| 1295775799 | Children's Friend and Family Services | Clinic/Center | 110 Boston Street, Salem, MA 01970-4127 | 2006-06-07 |
| 1124625561 | Christian Fauerso | Clinic/Center | 2493 State St, Salem, OR 97301-4543 | 2020-10-08 |
| 1780166116 | Precision Mental Performance LLC | Clinic/Center | 2110 Mission St Se Ste 305, Salem, OR 97302-0038 | 2018-09-01 |
| 1982135265 | Life Tree Pllc | Clinic/Center | 251 W State Road 198 Ste 3, Salem, UT 84653-5608 | 2017-03-27 |
| 1821549544 | Justice Resource Institute, Inc. | Clinic/Center | 110 Boston St, Salem, MA 01970-1402 | 2016-10-18 |
| 1891157723 | Live More Life Everyday Inc | Clinic/Center | 204 Lafayette St, Salem, MA 01970-4721 | 2016-03-21 |
| 1508141185 | Susan Bamford | Clinic/Center | 1845 Commercial St Se, Salem, OR 97302-5203 | 2011-10-14 |
| 1326288754 | North Shore Medical Center Opmh | Clinic/Center | 172 Lafayette St, Salem, MA 01970-4815 | 2009-02-25 |
| Find all providers in SALEM | ||||
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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.