Organization Active NPI

Locust Street Resource Center - Jacksonville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jacksonville, IL
National Provider Identifier
1316638687
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LOCUST STREET RESOURCE CENTER - JACKSONVILLE
Practice address
409 Hardin Ave Ste 202
Jacksonville, IL 62650-2553
Phone
(217) 854-3166
Fax
(217) 854-3778
NPI assigned
May 17, 2023
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LOCUST STREET RESOURCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Elizabeth Scherer
Title
Billing/Credentialing
Phone
(217) 854-3166

Specialties & licenses 1

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

Addresses

Primary practice location

409 Hardin Ave Ste 202
Jacksonville, IL 62650-2553

Mailing address

320 S Locust St
Carlinville, IL 62626-1648
Phone (217) 854-3166

Other practice location 1

60 E Central Park Plz
Jacksonville, IL 62650-2071
Phone (217) 854-3166

National Provider Directory

National Provider Directory
Tax ID family
Locust Street Resource Center Cila 29 organizations share this tax ID, including this one
Part of
Locust Street Resource Center Cila 2

Other organizations with this tax ID 8

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

Locations

320 S Locust St
Carlinville, IL 62626
Phone (217) 854-3166

409 Hardin Ave
Ste 202
Jacksonville, IL 62650
Phone (217) 854-3166

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1316638687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S LOCUST ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261648",
            "telephone_number": "217-854-3166",
            "fax_number": "217-854-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 HARDIN AVE STE 202",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502553",
            "telephone_number": "217-854-3166",
            "fax_number": "217-854-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 E Central Park Plz",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "IL",
            "postal_code": "626502071",
            "country_code": "US",
            "telephone_number": "217-854-3166",
            "fax_number": "217-854-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOCUST STREET RESOURCE CENTER - JACKSONVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOCUST STREET RESOURCE CENTER",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "SCHERER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "217-854-3166"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.