Charleston Community Unit School District #1

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CHARLESTON COMMUNITY UNIT SCHOOL DISTRICT #1

Practice address

410 W Polk Ave
Charleston, IL 61920-2557

Phone

(217) 639-1000

Fax

(217) 639-1005

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Niehaus

Title

Superintendent

Phone

(217) 639-1000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jenna Marie Gordon

  • Speech-Language Pathologist
  • Charleston, IL
  • NPI 1235072497
  NPD (past)
• Kaylee Righter, SLP

  • Speech-Language Pathologist
  • Charleston, IL
  • NPI 1780243428
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609972165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W POLK AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202557",
            "telephone_number": "217-639-1000",
            "fax_number": "217-639-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W POLK AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202557",
            "telephone_number": "217-639-1000",
            "fax_number": "217-639-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON COMMUNITY UNIT SCHOOL DISTRICT #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEHAUS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "217-639-1000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central East Alcoholism and Drug Council
• Central Illinois Autism Therapeutic Services, NFP
• Central Illinois Developmental Therapy, Inc.
• Central Illinois Vision Associates LTD
• Charleston Chiropractic Center LLC
• Charleston Estates, LLC
• Charleston Hco LLC (Charleston Rehab & Health Care Center)
• Charleston Hco LLC (Charleston Rehab & Health Care Center)
• Charleston Primary Care Inc.
• Charleston Rehab and Nursing LLC

• Local Education Agency (LEA) in Charleston, IL
• Providers in Charleston, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.