NPIMap

Organization Active NPI

McLean County Ctr Human SRVC

  • Community/Behavioral Health Agency
  • Bloomington, IL
National Provider Identifier
1265684237
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MCLEAN COUNTY CTR HUMAN SRVC
Practice address
520 N Center St
Bloomington, IL 61701-2902
Phone
(309) 827-5351
Fax
(309) 829-6808
NPI assigned
Oct 21, 2008
Organization subpart
Yes
Parent organization
MCLEAN COUNTY CENTER FOR H SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Tom Barr
Title
Executive Director
Phone
(309) 827-5351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

520 N Center St
Bloomington, IL 61701-2902

Mailing address

108 W Market St
Bloomington, IL 61701-3918
Phone (309) 827-5351

National Provider Directory

National Provider Directory
Tax ID family
McLean County Ctr Human5 organizations share this tax ID, including this one
Part of
McLean County Ctr Human

Other organizations with this tax ID 4

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

Locations

530 N Center St
Bloomington, IL 61701

520 N Center St
Bloomington, IL 61701
Phone (309) 827-5351

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1265684237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W MARKET ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013918",
            "telephone_number": "309-827-5351",
            "fax_number": "309-829-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CENTER ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012902",
            "telephone_number": "309-827-5351",
            "fax_number": "309-829-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN COUNTY CTR HUMAN SRVC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEAN COUNTY CENTER FOR H S",
        "enumeration_date": "2008-10-21",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-827-5351"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.