COUNTY OF LAWRENCE HEALTH DEPARTMENT (NPI# 1528298015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528298015 |
| Entity Type | Organization |
| Organization Name | COUNTY OF LAWRENCE HEALTH DEPARTMENT |
| Other Organization Name | LAWRENCE COUNTY BEHAVIOR HEALTH |
| Practice Address |
11362 Country Club Rd Lawrenceville IL 62439-4325 |
| Mailing Address |
Po Box 516 Rr3 Box 414 Lawrenceville IL 62439-0516 |
| Practice Telephone | 6189433754 |
| Practice Fax Number | 6189433657 |
| Mailing Telephone | 6189433754 |
| Mailing Fax Number | 6189433657 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | AMY MARLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 6189433302 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAWRENCE COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | 036-105698 | IL | Agencies |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Lawrence County Behavior Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982824041 | County of Lawrence Health Department | Public Health or Welfare | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2007-04-30 |
| 1427132232 | County of Lawrence Health Department | Public Health or Welfare | Rr 3 Box 414, Lawrenceville, IL 62439-9499 | 2006-10-25 |
| 1154376069 | County of Lawrence Health Department | Home Health | 11190 Country Club Road, Lawrenceville, IL 62439 | 2006-05-23 |
| 1629132410 | County of Lawrence Health Department | Clinic/Center | 11020 State Route 250, Lawrenceville, IL 62439-3379 | 2006-12-19 |
| Street Address |
11362 COUNTRY CLUB RD |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982824041 | County of Lawrence Health Department | Public Health or Welfare | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2007-04-30 |
| 1427662782 | Heather Leigh York | Counselor | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2020-09-03 |
| 1417566308 | Amanda Agan | Counselor | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2020-07-27 |
| 1043860703 | Wendy Reese | Counselor | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2019-09-16 |
| 1770143166 | Amy Ray | Registered Nurse | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2019-06-18 |
| 1669037313 | Amy Jo Marley | Registered Nurse | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2019-05-08 |
| 1477003283 | Lawrence County Health Department | Point of Service | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2016-10-05 |
| 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.