County of McLean

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COUNTY OF MCLEAN

Practice address

200 W Front St Ste 304
Bloomington, IL 61701-5067

Phone

(309) 888-5700

Fax

(309) 862-8501

NPI assigned

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Marita Landreth

Title

Director of Behavioral Health Coord

Phone

(309) 888-5700

Specialties & licenses 1

Addresses

Other names 1

• McLean County FUSE Program Doing business as

Tax ID family

County of McLean5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• County of McLean

  • Skilled Nursing Facility
  • Normal, IL
  • NPI 1174512016
  NPD tax ID
• County of McLean

  • Health Service Clinic/Center
  • Bloomington, IL
  • NPI 1871513655
  NPD tax ID
• McLean County Nursing Home

  • Oxygen Equipment & Supplies (DME)
  • Normal, IL
  • NPI 1134372071
  NPD tax ID
• McLean County Nursing Home

  • Non-emergency Medical Transport (VAN)
  • Normal, IL
  • NPI 1497275069
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane V Caruso, DDS

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1982877288
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1023675634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W FRONT ST STE 304",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015067",
            "telephone_number": "309-888-5700",
            "fax_number": "309-862-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W FRONT ST STE 304",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015067",
            "telephone_number": "309-888-5700",
            "fax_number": "309-862-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MCLEAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "LANDRETH",
        "authorized_official_first_name": "MARITA",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH COORD",
        "authorized_official_telephone_number": "309-888-5700"
    },
    "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": [
        {
            "organization_name": "McLean County FUSE Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Coughlin
• John Francis Couillard, O.D.
• Phyllis Joan Coulter, FNP
• Counseling Resource Institute LLC
• Countermeasures, Inc.
• County of McLean
• Haley Marie Courtney, MS, CCC-SLP
• Jaime Cox
• Kylsea Cox
• Craig a. Bowars DC, PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.