NPIMap

Organization Active NPI

Adapt of Illinois, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Collinsville, IL
National Provider Identifier
1013209675
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ADAPT OF ILLINOIS, INC.
Practice address
614 Summit Ave
Collinsville, IL 62234-3728
Phone
(877) 553-9440
Fax
(618) 235-2493
NPI assigned
May 13, 2011
Organization subpart
Yes
Parent organization
ADAPT OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia Janicak
Title
Revenue Cycle Manager
Phone
(877) 553-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

614 Summit Ave
Collinsville, IL 62234-3728

Mailing address

2600 West Blvd
Belleville, IL 62221-5605
Phone (877) 553-9440

National Provider Directory

National Provider Directory
Tax ID family
Adapt of Illinois Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1013209675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WEST BLVD",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215605",
            "telephone_number": "877-553-9440",
            "fax_number": "618-235-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 SUMMIT AVE",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343728",
            "telephone_number": "877-553-9440",
            "fax_number": "618-235-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPT OF ILLINOIS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAPT OF AMERICA",
        "enumeration_date": "2011-05-13",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "JANICAK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "877-553-9440"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.