Organization Active NPI

North Central Behavioral Health Systems, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Salle, IL
National Provider Identifier
1124044318
Registry record updated Jul 9, 2025
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
NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC
Practice address
2960 Chartres St.
Lasalle, IL 61301
Phone
(815) 223-0160
Fax
(815) 223-1634
NPI assigned
Jul 14, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Mr. Larry Block, CPA
Title
VP-Finance
Phone
(815) 223-0160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

2960 Chartres St.
Lasalle, IL 61301

Mailing address

PO Box 1488
Lasalle, IL 61301
Phone (815) 223-0160

Other practice location 1

229 Martin Ave
Canton, IL 61520-2520
Phone (309) 647-1881

Other practice location 2

530 Park Ave E Ste 403
Princeton, IL 61356-3901
Phone (815) 224-1610

Other practice location 3

219 N Main St
Princeton, IL 61356-1700
Phone (815) 224-1610

Other practice location 4

111 Spring St Ste 320-328
Streator, IL 61364-3332
Phone (815) 434-4727

Other practice location 5

301 E Jefferson St
Macomb, IL 61455-2312
Phone (309) 833-2191

Other practice location 6

727 E Etna Rd
Ottawa, IL 61350-1040
Phone (815) 434-4727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000110 IL Part B Supplier - Clinic/Group Practice 5294625208 Receives reassigned benefits from 8 practitioners
Practice locations: Streator, IL; Princeton, IL; Ottawa, IL; Macomb, IL; La Salle, IL; Canton, IL; Morris, IL

National Provider Directory

National Provider Directory
Tax ID family
North Central Behavioral Health Systems Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

229 Martin Ave
Canton, IL 61520
Phone (309) 647-1349

526 S Bureau Valley Pkwy
Princeton, IL 61356
Phone (815) 872-5091

530 Park Ave E
Ste 206B
Princeton, IL 61356

111 Spring St
Ste 320328
Streator, IL 61364
Phone (815) 434-4727

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1124044318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1488",
            "city": "LASALLE",
            "state": "IL",
            "postal_code": "61301",
            "telephone_number": "815-223-0160",
            "fax_number": "815-223-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CHARTRES ST.",
            "city": "LASALLE",
            "state": "IL",
            "postal_code": "61301",
            "telephone_number": "815-223-0160",
            "fax_number": "815-223-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "IL",
            "postal_code": "615202520",
            "country_code": "US",
            "telephone_number": "309-647-1881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Park Ave E Ste 403",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "613563901",
            "country_code": "US",
            "telephone_number": "815-224-1610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 N Main St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "IL",
            "postal_code": "613561700",
            "country_code": "US",
            "telephone_number": "815-224-1610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Spring St Ste 320-328",
            "address_purpose": "LOCATION",
            "city": "Streator",
            "state": "IL",
            "postal_code": "613643332",
            "country_code": "US",
            "telephone_number": "815-434-4727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "IL",
            "postal_code": "614552312",
            "country_code": "US",
            "telephone_number": "309-833-2191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 E Etna Rd",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613501040",
            "country_code": "US",
            "telephone_number": "815-434-4727",
            "fax_number": "815-434-0271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH CENTRAL BEHAVIORAL HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "VP-FINANCE",
        "authorized_official_telephone_number": "815-223-0160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Salle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.