NPIMap

Organization Active NPI

Human Support Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IL
National Provider Identifier
1245072172
Registry record updated Jun 11, 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
HUMAN SUPPORT SERVICES
Practice address
228 Bradford LN Apt 1-10
Waterloo, IL 62298-3270
Phone
(618) 939-4444
Fax
(618) 939-4181
NPI assigned
Jun 11, 2024
Organization subpart
Yes
Parent organization
HUMAN SUPPORT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Melissa Jones
Title
Director of Business Operations/Qua
Phone
(618) 939-4444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

228 Bradford LN Apt 1-10
Waterloo, IL 62298-3270

Mailing address

PO Box 146
Waterloo, IL 62298-0146
Phone (618) 939-4444

National Provider Directory

National Provider Directory
Tax ID family
Human Support Services18 organizations share this tax ID, including this one
Part of
Human Support Services

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1245072172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622980146",
            "telephone_number": "618-939-4444",
            "fax_number": "618-939-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BRADFORD LN APT 1-10",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622983270",
            "telephone_number": "618-939-4444",
            "fax_number": "618-939-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN SUPPORT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMAN SUPPORT SERVICES",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS/QUA",
        "authorized_official_telephone_number": "618-939-4444"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.