Institute for Human Resources of Livingston County, Il

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INSTITUTE FOR HUMAN RESOURCES OF LIVINGSTON COUNTY, IL

Practice address

920 W Custer Ave
Pontiac, IL 61764-1067

Phone

(815) 844-6109

Fax

(815) 844-3561

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Jenny Rae Larkin

Title

Business Manager

Phone

(815) 844-6109

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Institute for Human Res2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Institute for Human Resources

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pontiac, IL
  • NPI 1477719003
  NPD tax ID

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Elzey, BS

  • Social Worker
  • Pontiac, IL
  • NPI 1700384641
  Medicare reassignment Care Compare group NPD
• Briana Flori, APRN

  • Nurse Practitioner
  • Pontiac, IL
  • NPI 1275198103
  Medicare reassignment Care Compare group NPD
• William Puga, M.D.

  • Psychiatry Physician
  • Streamwood, IL
  • NPI 1427011170
  Medicare reassignment Care Compare group NPD
• Joseph Vaughan, LCSW

  • Mental Health Counselor
  • Pontiac, IL
  • NPI 1508873381
  Medicare reassignment Care Compare group NPD
• Sinata Becca Jinadu

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, IL
  • NPI 1043815608
  Medicare reassignment Care Compare group
• Jessica J Siwak, LCSW

  • Clinical Social Worker
  • Pontiac, IL
  • NPI 1477828713
  NPD
• Kevin Steidinger, BS

  • Addiction (Substance Use Disorder) Counselor
  • Pontiac, IL
  • NPI 1477106003
  NPD

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1649239674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617640768",
            "telephone_number": "815-844-6109",
            "fax_number": "815-844-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W CUSTER AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641067",
            "telephone_number": "815-844-6109",
            "fax_number": "815-844-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR HUMAN RESOURCES OF LIVINGSTON COUNTY, IL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "LARKIN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "815-844-6109"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04079",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Hooper, OTR/L
• Melissa Horning, ATC
• Frank William Hsu, M.D.
• Alexandra Hume
• Institute for Human Resources
• J a K Enterprises Inc
• J C Purnell MD SC
• Nicole M. Jack, PA-C
• Heather Ann Taylor Jackson, APRN, WHNP-BC
• John W. Rinker

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.