COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. (NPI# 1568900454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568900454 |
| Entity Type | Organization |
| Organization Name | COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. |
| Other Organization Name | LIFELINKS MENTAL HEALTH |
| Practice Address |
302 N Mill St Greenup IL 62428 |
| Mailing Address |
750 Broadway Ave E Mattoon IL 61938-4610 |
| Practice Telephone | 2172385700 |
| Practice Fax Number | 2172385767 |
| Mailing Telephone | 2172385700 |
| Mailing Fax Number | 2172385767 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | MRS. 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 |
|---|---|---|---|---|
| 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 |
| 1487165577 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2017-10-17 |
| 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 |
302 N MILL ST |
| City | GREENUP |
| State | IL |
| Zip Code | 62428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396885737 | Troy Layne Warner | Chiropractor | 102 Courthouse Sq., Toledo, IL 62428 | 2007-02-07 |
| 1356401335 | Janis Deann Miller | Nurse Practitioner | 302 North Mill Street, Greenup, IL 62428 | 2006-12-11 |
| 1346423803 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 302 North Mill Street, Greenup, IL 62428 | 2007-12-07 |
| 1942330386 | Village of Greenup | Ambulance | 115e Cumberland Street, Greeenup, IL 62428-0246 | 2007-03-06 |
| 1376740910 | Rural Health Clinic Greenup | Clinic/Center | 302 N Mill, Greenup, IL 62428-0817 | 2007-06-28 |
| 1124184569 | Gregory Jay Dill | Dentist | 102 E Cumberland, Greenup, IL 62428-0818 | 2006-12-29 |
| 1932476686 | Kyle Edward Bergbower | Chiropractor | 100 W Cumberland St., Greenup, IL 62428-0825 | 2011-11-23 |
| 1639521479 | Bergbower Chiropractic LLC | Chiropractor | 100 W Cumberland St., Greenup, IL 62428-0825 | 2016-07-05 |
| 1396830154 | Petersen Companies, LLC | Nursing Facility/Intermediate Care Facility | 300 N Marietta St, Greenup, IL 62428-1103 | 2006-10-04 |
| 1033758966 | Cumberland Hco LLC | Skilled Nursing Facility | 300 N Marietta St, Greenup, IL 62428-1103 | 2019-12-23 |
| Find all providers in zip 62428 | ||||
| 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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| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.