MENTAL HEALTH CENTERS OF WESTERN ILLINOIS (NPI# 1679937098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679937098 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH CENTERS OF WESTERN ILLINOIS |
| Practice Address |
120 N Williams Industrial Dr Pittsfield IL 62363-1300 |
| Mailing Address |
700 Se Cross St Mount Sterling IL 62353-1561 |
| Practice Telephone | 2172854436 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | ROXIE OLIVER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2177733325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871885541 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 510 Curry Lane, Mount Sterling, IL 62353 | 2011-05-12 |
| 1245522168 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 210 Country Ln, Mount Sterling, IL 62353-1363 | 2011-05-11 |
| 1699067512 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 211 Country Ln, Mount Sterling, IL 62353-1300 | 2011-05-11 |
| 1972895894 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 213 Country Ln, Mount Sterling, IL 62353-1370 | 2011-05-11 |
| 1063704989 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 608 Se Cross St, Mount Sterling, IL 62353-1555 | 2011-05-11 |
| 1508158429 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 30 Randolph St Bldg A, Carthage, IL 62321-1266 | 2011-05-11 |
| 1417249335 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 30 Randolph St Bldg B, Carthage, IL 62321-1266 | 2011-05-11 |
| 1144512062 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 30 Randolph St Bldg C, Carthage, IL 62321-1266 | 2011-05-11 |
| 1053603977 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 30 Randolph St Bldg D, Carthage, IL 62321-1266 | 2011-05-11 |
| 1558451716 | Mental Health Centers of Western Illinois | Clinic/Center | 700 Se Cross Street, Mt Sterling, IL 62353 | 2006-10-16 |
| Street Address |
120 N WILLIAMS INDUSTRIAL DR |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538569868 | Tiffany Henry | Counselor | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2014-08-22 |
| 1861048316 | Sarah Hicks | Counselor | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2019-08-12 |
| 1215451679 | Jessica Jackson | Licensed Practical Nurse | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2017-07-27 |
| 1346760782 | Shanna Tharp | Counselor | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2017-06-27 |
| 1366892945 | Christina Cunningham | Social Worker | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2016-06-15 |
| 1801290176 | Makenzie Shipman | Social Worker | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| 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 |
|---|---|---|---|---|
| 1447494240 | Berkshire County Arc, Inc. | Community/Behavioral Health | 395 South St, Pittsfield, MA 01201-6803 | 2009-04-23 |
| 1023647104 | Berkshire Cbt Services, LLC | Community/Behavioral Health | 22 Gordon St, Pittsfield, MA 01201-6442 | 2020-04-02 |
| 1548808843 | Phelps-smith LLC | Community/Behavioral Health | 2 Herie Ave Apt 2, Pittsfield, MA 01201-5548 | 2019-12-17 |
| 1215485107 | Berkshire County Arc, Inc. | Community/Behavioral Health | 395 South St, Pittsfield, MA 01201-6803 | 2016-09-20 |
| 1386066579 | Clinical and Support Options | Community/Behavioral Health | 877 South St, Suite 200, Pittsfield, MA 01201-8242 | 2014-01-08 |
| 1306276282 | Clinical and Support Options | Community/Behavioral Health | 877 South St, Pittsfield, MA 01201-8242 | 2013-11-14 |
| 1457643645 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 121 S Madison St, Pittsfield, IL 62363-1951 | 2011-05-06 |
| 1093995045 | Massachusetts Society for The Prevention of Cruelty To Children | Community/Behavioral Health | 53 Eagle St, Pittsfield, MA 01201-4714 | 2007-11-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
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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.