NPIMap

Organization Active NPI

Heritage Behavioral Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IL
National Provider Identifier
1235527524
Registry record updated Aug 27, 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
HERITAGE BEHAVIORAL HEALTH CENTER, INC
Doing business as
Heritage Behavioral Health Center, Inc
Practice address
327 W Prairie Ave
Decatur, IL 62522-2444
Phone
(217) 423-0548
Fax
(217) 632-6290
NPI assigned
Jan 8, 2015
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HERITAGE BEHAVIORAL HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mary Garrison, LCSWNPI 1598073959
Title
President/Ceo
Phone
(217) 362-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X 04070 IL

Addresses

Primary practice location

327 W Prairie Ave
Decatur, IL 62522-2444

Mailing address

151 N Main St
Decatur, IL 62523
Phone (217) 362-6262

Other names 1

  • Heritage Behavioral Health Center, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Behavioral HLT14 organizations share this tax ID, including this one
Part of
Heritage Behavioral HLT

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 53

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.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1235527524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62523",
            "telephone_number": "217-362-6262",
            "fax_number": "217-362-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W PRAIRIE AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625222444",
            "telephone_number": "217-423-0548",
            "fax_number": "217-632-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE BEHAVIORAL HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE BEHAVIORAL HEALTH CENTER INC",
        "enumeration_date": "2015-01-08",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "217-362-6262",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "04070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Behavioral Health Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.