NPIMap

Organization Active NPI

Locust Street Resource Center

  • Mental Illness Community Based Residential Treatment Facility
  • Carlinville, IL
National Provider Identifier
1245524677
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LOCUST STREET RESOURCE CENTER
Practice address
354 N Plum St
Carlinville, IL 62626-1316
Phone
(217) 854-3166
Fax
(217) 854-9729
NPI assigned
Jun 2, 2011
Organization subpart
Yes
Parent organization
LOCUST STREET RESOURCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Mrs. Maria Clark
Title
Executive Director
Phone
(217) 854-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

354 N Plum St
Carlinville, IL 62626-1316

Mailing address

320 S Locust St
Carlinville, IL 62626-1648
Phone (217) 854-3166

Other names 1

  • Hope Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Macoupin Cnty Mental HL9 organizations share this tax ID, including this one
Part of
Macoupin Cnty Mental HL

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1245524677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S LOCUST ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261648",
            "telephone_number": "217-854-3166",
            "fax_number": "217-854-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N PLUM ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261316",
            "telephone_number": "217-854-3166",
            "fax_number": "217-854-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUST STREET RESOURCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOCUST STREET RESOURCE CENTER",
        "enumeration_date": "2011-06-02",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-854-3166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carlinville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.