NPIMap

Organization Active NPI

Catholic Charities of the Diocese of Peoria

  • Community/Behavioral Health Agency
  • West Peoria, IL
National Provider Identifier
1285951343
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
Practice address
2900 W Heading Ave
BLDG E
West Peoria, IL 61604-4868
Phone
(309) 636-8012
Fax
(309) 636-8097
NPI assigned
Apr 29, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

2900 W Heading Ave
BLDG E
West Peoria, IL 61604-4868

Mailing address

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

Other names 1

  • BLDG E Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Diocese of Peoria14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1285951343",
    "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": "309-636-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W HEADING AVE",
            "address_2": "BLDG E",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616044868",
            "telephone_number": "309-636-8012",
            "fax_number": "309-636-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "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_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLDG E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.