Active NPI
Midwest Agricultural Wellness Institute
- Adult Mental Health Clinic/Center
- Marion, IL
National Provider Identifier
1619888591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MIDWEST AGRICULTURAL WELLNESS INSTITUTE
- Practice address
- 1517 E Deyoung St
Marion, IL 62959-5013 - Phone
- (618) 579-4716
- NPI assigned
- Sep 17, 2026
- Last updated
- Sep 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Martin
- Title
- Executive Director
- Phone
- (618) 579-4716
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1517 E Deyoung St
Marion, IL 62959-5013
Mailing address
595 Barter Rd
Saline County
Harrisburg, IL 62946-4102
Phone (618) 579-4716
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1619888591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 BARTER RD",
"address_2": "SALINE COUNTY",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629464102",
"telephone_number": "618-579-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 E DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629595013",
"telephone_number": "618-579-4716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST AGRICULTURAL WELLNESS INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "618-579-4716"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.