NPIMap

Organization Active NPI

Catholic Charities of the Diocese of Peoria

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IL
National Provider Identifier
1285693630
Registry record updated Aug 21, 2008
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
CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
Practice address
502 S Morris Ave
Bloomington, IL 61701-4884
Phone
(309) 636-8041
Fax
(309) 636-8097
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Ms. Peggy A. Arizzi, MSW, LCSW
Title
Executive Director
Phone
(309) 636-8012

Specialties & licenses 1

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

Addresses

Primary practice location

502 S Morris Ave
Bloomington, IL 61701-4884

Mailing address

2900 W Heading Ave
West Peoria, IL 61604-4868
Phone (309) 636-8012

National Provider Directory

National Provider Directory

Locations

502 S Morris Ave
Bloomington, IL 61701
Phone (309) 808-2778

542 Crosat St
La Salle, IL 61301
Phone (815) 223-4007

548 Crosat St
La Salle, IL 61301
Phone (815) 223-4007

310 S Logan St
Lincoln, IL 62656
Phone (217) 732-3771

4806 N Sheridan Rd
Peoria, IL 61614
Phone (309) 682-6258

4703 44th St
Ste 3
Rock Island, IL 61201
Phone (309) 788-9581

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1285693630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W HEADING AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616044868",
            "telephone_number": "309-636-8012",
            "fax_number": "309-674-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MORRIS AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014884",
            "telephone_number": "309-636-8041",
            "fax_number": "309-636-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "ARIZZI",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-636-8012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "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 Aug 21, 2008; 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.