NPIMap

Organization Active NPI

Pioneer Center for Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodstock, IL
National Provider Identifier
1093025660
Registry record updated Aug 17, 2022
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
PIONEER CENTER FOR HUMAN SERVICES
Practice address
506 Clay Street
Woodstock, IL 60098
Phone
(815) 759-7152
Fax
(815) 344-3815
NPI assigned
Oct 18, 2010
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Frank Samuel
Title
Co-Ceo
Phone
(815) 759-7135

Specialties & licenses 1

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

Addresses

Primary practice location

506 Clay Street
Woodstock, IL 60098

Mailing address

4031 W Dayton St
McHenry, IL 60050-8377
Phone (815) 759-7152

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Center for Human Services18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

506 Clay St
Woodstock, IL 60098
Phone (815) 334-4824

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1093025660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 W DAYTON ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508377",
            "telephone_number": "815-759-7152",
            "fax_number": "815-344-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CLAY STREET",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "60098",
            "telephone_number": "815-759-7152",
            "fax_number": "815-344-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CENTER FOR HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "815-759-7135"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.