NPIMap

Organization Active NPI

Shelby County Community Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelbyville, IL
National Provider Identifier
1508540105
Registry record updated Jun 14, 2023
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
SHELBY COUNTY COMMUNITY SERVICES INC
Practice address
477 S Heinlein Dr
Shelbyville, IL 62565-9596
Phone
(217) 774-2113
Fax
(217) 774-2256
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Ed Lacheta
Title
Clinical Director
Phone
(217) 774-2113

Specialties & licenses 1

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

Addresses

Primary practice location

477 S Heinlein Dr
Shelbyville, IL 62565-9596

Mailing address

1810 W South 3Rd St
Shelbyville, IL 62565-9595
Phone (217) 774-2113

National Provider Directory

National Provider Directory
Tax ID family
Shelby County Community Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1508540105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 W SOUTH 3RD ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625659595",
            "telephone_number": "217-774-2113",
            "fax_number": "217-774-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 S HEINLEIN DR",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625659596",
            "telephone_number": "217-774-2113",
            "fax_number": "217-774-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "LACHETA",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "217-774-2113"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.