NPIMap

Organization Active NPI

Comprehensive Behavioral Health Center of St. Clair County, Inc.

  • Methadone Clinic
  • East Saint Louis, IL
National Provider Identifier
1437328283
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Practice address
505 S 8TH St
East Saint Louis, IL 62201
Phone
(618) 482-7330
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Mr. Joseph J Harper, LSCW, MBA, CDAC
Title
Executive Director
Phone
(618) 482-7330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

505 S 8TH St
East Saint Louis, IL 62201

Mailing address

505 S 8TH St
East Saint Louis, IL 62201-2919
Phone (618) 482-7330

Other practice location 1

4601 State St
East Saint Louis, IL 62205-1359
Phone (618) 482-7385

Other identifiers 1

IdentifierTypeStateIssuer
04037MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
Opioid treatment program
Medicare-enrolled since Nov 6, 2023

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080314000542 IL Part B Supplier - Clinic/Group Practice 7810072899 Receives reassigned benefits from 4 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belleville, IL; East Saint Louis, IL
O20231226001110 IL Part B Supplier - Opioid Treatment Program (Otp) 7810072899 Practice locations: East Saint Louis, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Locations

1501 S G St
East Saint Louis, IL 62207

4601 State St
East St Louis, IL 62205
Phone (918) 482-7330

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1437328283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 8TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012919",
            "telephone_number": "618-482-7330",
            "fax_number": "618-482-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S 8TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "62201",
            "telephone_number": "618-482-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 State St",
            "address_purpose": "LOCATION",
            "city": "East Saint Louis",
            "state": "IL",
            "postal_code": "622051359",
            "country_code": "US",
            "telephone_number": "618-482-7385",
            "fax_number": "618-785-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-482-7330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSCW, MBA, CDAC"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04037",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Saint Louis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.