NPIMap

Organization Active NPI

Lawrence County Health Dept

Doing business as Lawrence County Behavior Health

  • Community/Behavioral Health Agency
  • Lawrenceville, IL
National Provider Identifier
1326454356
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAWRENCE COUNTY HEALTH DEPT
Doing business as
Lawrence County Behavior Health
Practice address
2101 James St
Lawrenceville, IL 62439-2027
Phone
(618) 943-3302
Fax
(618) 943-3657
NPI assigned
Jul 10, 2014
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Ms. Amy MarleyNPI 1669037313
Title
Administrator
Phone
(618) 943-3302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2101 James St
Lawrenceville, IL 62439-2027

Mailing address

2101 James St
Lawrenceville, IL 62439-2027
Phone (618) 943-3302

Other identifiers 1

IdentifierTypeStateIssuer
036072942MedicaidIL

Other names 1

  • Lawrence County Behavior Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Lawrence Health Department8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2101 James St
Lawrenceville, IL 62439
Phone (618) 943-3302

Practitioners & affiliated clinicians

Practitioners 1

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": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1326454356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JAMES ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392027",
            "telephone_number": "618-943-3302",
            "fax_number": "618-943-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JAMES ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392027",
            "telephone_number": "618-943-3302",
            "fax_number": "618-943-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-943-3302",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072942",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence County Behavior Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lawrence County Behavior Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.