Organization Active NPI

Mental Health Resilience Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Swansea, IL
National Provider Identifier
1447873518
Registry record updated Feb 20, 2022
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 RESILIENCE GROUP
Practice address
4132 Woodland Park Dr
Swansea, IL 62226-8554
Phone
(618) 477-4452
NPI assigned
May 24, 2020
Last updated
Feb 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2022

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

Authorized official

Name
Andrea Turner
Title
Executive Director
Phone
(618) 239-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4132 Woodland Park Dr
Swansea, IL 62226-8554

Mailing address

4132 Woodland Park Dr
Swansea, IL 62226-8554
Phone (618) 239-4700

National Provider Directory

National Provider Directory

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": "1590278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645315200000",
    "number": "1447873518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 WOODLAND PARK DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268554",
            "telephone_number": "618-239-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 WOODLAND PARK DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268554",
            "telephone_number": "618-477-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH RESILIENCE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-24",
        "last_updated": "2022-02-20",
        "certification_date": "2022-02-20",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-239-4700"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2022; 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.