NPIMap

Organization Active NPI

Jasper County Health Department

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newton, IL
National Provider Identifier
1306594411
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
JASPER COUNTY HEALTH DEPARTMENT
Practice address
910 S Van Buren St
Newton, IL 62448-1727
Phone
(618) 783-4154
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF JASPERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Jeannie Johnson, MS, LCPC, CADCNPI 1861715963
Title
Director of Behavioral Health
Phone
(618) 783-4154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

910 S Van Buren St
Newton, IL 62448-1727

Mailing address

106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070601000074 IL Part B Supplier - Clinic/Group Practice 6901904796 Receives reassigned benefits from 7 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newton, IL; Olney, IL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
County of Jasper8 organizations share this tax ID, including this one
Part of
County of Jasper

Other organizations with this tax ID 7

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

Locations

104 N 1st Ave
Newton, IL 62448
Phone (618) 783-8651

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1306594411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EDWARDS ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481736",
            "telephone_number": "618-783-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S VAN BUREN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481727",
            "telephone_number": "618-783-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF JASPER",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "618-783-4154",
        "authorized_official_credential": "MS, LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.