NPIMap

Organization Active NPI

Locust Street Resource Center

  • Mental Illness Community Based Residential Treatment Facility
  • Carlinville, IL
National Provider Identifier
1477286516
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LOCUST STREET RESOURCE CENTER
Practice address
515 W Cherry St
Carlinville, IL 62626-1632
Phone
(217) 854-3166
Fax
(217) 854-3778
NPI assigned
Jul 6, 2022
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Elizabeth Scherer
Title
Billing/Credentialing
Phone
(217) 854-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

515 W Cherry St
Carlinville, IL 62626-1632

Mailing address

320 S Locust St
Carlinville, IL 62626-1648
Phone (217) 854-3166

Other names 1

  • Locust Street Resource Center - Cherry St Other name

National Provider Directory

National Provider Directory
Tax ID family
Macoupin Cnty Mental HL9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1477286516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S LOCUST ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261648",
            "telephone_number": "217-854-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W CHERRY ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261632",
            "telephone_number": "217-854-3166",
            "fax_number": "217-854-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUST STREET RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "SCHERER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "217-854-3166"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Locust Street Resource Center - Cherry St",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Locust Street Resource Center - Cherry St",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carlinville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.