NPIMap

Organization Active NPI

Community Elements

  • Community/Behavioral Health Agency
  • Champaign, IL
National Provider Identifier
1467752790
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
101YM0800X Issued in IL
Legal business name
COMMUNITY ELEMENTS
Practice address
202 W Park Ave
Champaign, IL 61820-3929
Phone
(217) 373-2430
NPI assigned
Nov 3, 2010
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Jennifer Chaney
Title
Employment Specialist
Phone
(217) 693-4613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101YM0800X IL Primary

Addresses

Primary practice location

202 W Park Ave
Champaign, IL 61820-3929

Mailing address

202 West Park Street
Champaign, IL 61820

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1467752790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WEST PARK STREET",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W PARK AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203929",
            "telephone_number": "217-373-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ELEMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EMPLOYMENT SPECIALIST",
        "authorized_official_telephone_number": "217-693-4613"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.