Jane Addams Community Mental Health Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER

Practice address

421 W Exchange St
Freeport, IL 61032-4008

Phone

(815) 599-7300

NPI assigned

Apr 29, 2020

Organization subpart

Yes

Parent organization

JANE ADDAMS COMMUNITY MENTAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Julie Behrends

Title

Provider Enrollment

Phone

(815) 599-7925

Specialties & licenses 1

Addresses

Other names 1

• FHN Family Counseling Center Doing business as

Part of

Jane Addams Community Mental Health Center

Locations

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1366063513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610320813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W EXCHANGE ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324008",
            "telephone_number": "815-599-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JANE ADDAMS COMMUNITY MENTAL HEALTH CENTER",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "BEHRENDS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "815-599-7925"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHN Family Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Iverson
• Jeffrey John James, OD
• Jane Addams
• Jane Addams Community Mental Health Center
• Jane Addams Community Mental Health Center
• Michael R Jay, LCPC
• Christopher W Jelinek, MD
• April Lynn Jessen, NP
• Timothy E Jessen, MD
• JL Physical Therapy

• Substance Use Disorder Rehabilitation Clinic/Center in Freeport, IL
• Providers in Freeport, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.