NPIMap

Organization Active NPI

Heartland Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clay City, IL
National Provider Identifier
1306408943
Registry record updated Jul 3, 2019
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
HEARTLAND HUMAN SERVICES
Practice address
800 Kelly Dr SW
Clay City, IL 62824-1155
Phone
(217) 347-7179
NPI assigned
Jul 3, 2019
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Shannon Quandt, LCPC
Title
Executive Director
Phone
(217) 347-7179

Specialties & licenses 1

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

Addresses

Primary practice location

800 Kelly Dr SW
Clay City, IL 62824-1155

Mailing address

PO Box 1047
Effingham, IL 62401-1047
Phone (217) 347-7179

National Provider Directory

National Provider Directory
Tax ID family
Heartland Human Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

800 Kelly Dr SW
Clay City, IL 62824
Phone (217) 347-7179

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1306408943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011047",
            "telephone_number": "217-347-7179",
            "fax_number": "217-342-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KELLY DR SW",
            "city": "CLAY CITY",
            "state": "IL",
            "postal_code": "628241155",
            "telephone_number": "217-347-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "QUANDT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-347-7179",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.