The Good Shepherd Foundation of Henry County

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

THE GOOD SHEPHERD FOUNDATION OF HENRY COUNTY

Practice address

4711 44TH Street
4711 44TH Street, Suite 2
Rock Island, IL 61201-7190

Phone

(309) 270-1741

Fax

(309) 755-9710

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

Ronald Christensen, ED.D, CADC

Title

Clinical Program Director

Phone

(309) 270-1741

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1649519620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 44TH STREET",
            "address_2": "4711 44TH STREET, SUITE 2",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017190",
            "telephone_number": "309-944-6205",
            "fax_number": "309-944-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 44TH STREET",
            "address_2": "4711 44TH STREET, SUITE 2",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017190",
            "telephone_number": "309-270-1741",
            "fax_number": "309-755-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SHEPHERD FOUNDATION OF HENRY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CLINICAL PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "309-270-1741",
        "authorized_official_credential": "ED.D, CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-9103-0002-A",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rock Island, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.