NPIMap

Organization Active NPI

Douglas County Mental Health and Family Counseling Association Inc.

Doing business as RISE Behavioral Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tuscola, IL
National Provider Identifier
1235290230
Registry record updated Aug 28, 2023
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
DOUGLAS COUNTY MENTAL HEALTH AND FAMILY COUNSELING ASSOCIATION INC.
Doing business as
RISE Behavioral Health and Wellness
Practice address
114 W Houghton St
Tuscola, IL 61953-1660
Phone
(217) 253-4731
Fax
(217) 253-4733
NPI assigned
Dec 13, 2006
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Lauren Christina, LCPCNPI 1124856976
Title
Executive Director
Phone
(217) 253-4731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 04048 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

114 W Houghton St
Tuscola, IL 61953-1660

Mailing address

114 W Houghton St
Tuscola, IL 61953-1660
Phone (217) 253-4731

Other identifiers 2

IdentifierTypeStateIssuer
036050367MedicaidIL
0002315371OtherILBLUECROSSBLUESHEILD

Other names 2

  • RISE Behavioral Health and Wellness Doing business as
  • Main Building Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1235290230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W HOUGHTON ST",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619531660",
            "telephone_number": "217-253-4731",
            "fax_number": "217-253-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W HOUGHTON ST",
            "city": "TUSCOLA",
            "state": "IL",
            "postal_code": "619531660",
            "telephone_number": "217-253-4731",
            "fax_number": "217-253-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY MENTAL HEALTH AND FAMILY COUNSELING ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTINA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-253-4731",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "04048",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050367",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHEILD",
            "identifier": "0002315371",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISE Behavioral Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Building",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tuscola, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.