NPIMap

Organization Active NPI

Mental Health Centers of Western Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carthage, IL
National Provider Identifier
1417249335
Registry record updated Jun 1, 2026
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
MENTAL HEALTH CENTERS OF WESTERN ILLINOIS
Practice address
30 Randolph St BLDG B
Carthage, IL 62321-1266
Phone
(217) 773-3325
Fax
(217) 773-2425
NPI assigned
May 11, 2011
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Katie Wilson, LCPC
Title
Executive Director
Phone
(217) 773-3325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Mental Illness Community Based Residential Treatment Facility 320800000X NU

Addresses

Primary practice location

30 Randolph St BLDG B
Carthage, IL 62321-1266

Mailing address

700 SE Cross St
Mount Sterling, IL 62353-1561
Phone (217) 773-3325

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Centers of Western Illinois15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1417249335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE CROSS ST",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "623531561",
            "telephone_number": "217-773-3325",
            "fax_number": "217-773-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RANDOLPH ST BLDG B",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623211266",
            "telephone_number": "217-773-3325",
            "fax_number": "217-773-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CENTERS OF WESTERN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-773-3325",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.