NPIMap

Organization Active NPI

One Hope United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, IL
National Provider Identifier
1154629673
Registry record updated Jun 10, 2024
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
ONE HOPE UNITED
Practice address
2929 Broadway St
Suite 7a
Mount Vernon, IL 62864-2383
Phone
(618) 242-8226
NPI assigned
Mar 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Heather Christine Kelly
Title
Assistant Director of BH
Phone
(217) 273-5398

Specialties & licenses 1

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

Addresses

Primary practice location

2929 Broadway St
Suite 7a
Mount Vernon, IL 62864-2383

Mailing address

1400 E McCord St
PO Box 548
Centralia, IL 62801-3702
Phone (618) 532-4311

National Provider Directory

National Provider Directory
Tax ID family
One Hope United28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

1400 E McCord St
Centralia, IL 62801
Phone (618) 367-9016

2929 Broadway St
Ste 7A
Mount Vernon, IL 62864
Phone (618) 244-4481

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1154629673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E MCCORD ST",
            "address_2": "PO BOX 548",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013702",
            "telephone_number": "618-532-4311",
            "fax_number": "618-532-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 BROADWAY ST",
            "address_2": "SUITE 7A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642383",
            "telephone_number": "618-242-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOPE UNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF BH",
        "authorized_official_telephone_number": "217-273-5398"
    },
    "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 Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.