Jane Addams Community Mental Health Center

Primary specialty

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

Legal business name

JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER

Practice address

421 W Exchange St
Freeport, IL 61032-4030

Phone

(815) 599-7300

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Kathryn Martinez

Title

Vpof Patient Services

Phone

(815) 599-7529

Specialties & licenses 1

Addresses

Other names 1

• FHN Family Counseling Center Doing business as

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1124190335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "address_2": "421 W EXCHANGE ST.",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610320813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W EXCHANGE ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324030",
            "telephone_number": "815-599-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "VPOF PATIENT SERVICES",
        "authorized_official_telephone_number": "815-599-7529"
    },
    "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": "FHN Family Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanny Isawi, MD
• Suzette Antoinette Isokpunwu
• Stephanie Iverson
• Jeffrey John James, OD
• Jane Addams
• Jane Addams Community Mental Health Center
• Jane Addams Community Mental Health Center
• Michael R Jay, LCPC
• Christopher W Jelinek, MD
• April Lynn Jessen, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Freeport, IL
• Providers in Freeport, 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 Nov 5, 2018; 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.