Active NPI
Chestnut Health Systems
- Community/Behavioral Health Agency
- Kappa, IL
National Provider Identifier
1700244571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 32510
- Legal business name
- CHESTNUT HEALTH SYSTEMS
- Practice address
- 212 Pearl St
Kappa, IL 61738-1855 - Phone
- (309) 261-6766
- NPI assigned
- Feb 8, 2016
- Last updated
- Feb 8, 2016
- 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
- Mychele Kenney
- Title
- Director of Youth Services
- Phone
- (309) 827-6026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 32510 | IL | Primary |
Addresses
Primary practice location
212 Pearl St
Kappa, IL 61738-1855
Mailing address
212 Pearl St
Kappa, IL 61738-1855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32510 | Other | IL | CADC |
National Provider Directory
National Provider Directory- Tax ID family
- Chestnut Health Systems
Other organizations with this tax ID 43
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IL
- NPI 1578246047
-
- Mental Illness Community Based Residential Treatment Facility
- Belleville, IL
- NPI 1649558792
-
dba Chestnut Family Health Center
- Dental Clinic/Center
- Bloomington, IL
- NPI 1659140515
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bloomington, IL
- NPI 1710767405
-
- Community Health Clinic/Center
- Granite City, IL
- NPI 1912736596
-
- Case Management Agency
- Granite City, IL
- NPI 1285912337
-
- Community/Behavioral Health Agency
- Granite City, IL
- NPI 1265773188
-
- Substance Abuse Rehabilitation Facility
- Bloomington, IL
- NPI 1316068471
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Granite City, IL
- NPI 1518208719
-
- Substance Abuse Rehabilitation Facility
- Bloomington, IL
- NPI 1609021997
-
- Substance Abuse Rehabilitation Facility
- Maryville, IL
- NPI 1801069059
-
- Counselor
- Granite City, IL
- NPI 1942647169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1700244571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 PEARL ST",
"city": "KAPPA",
"state": "IL",
"postal_code": "617381855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 PEARL ST",
"city": "KAPPA",
"state": "IL",
"postal_code": "617381855",
"telephone_number": "309-261-6766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTNUT HEALTH SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "KENNEY",
"authorized_official_first_name": "MYCHELE",
"authorized_official_title_or_position": "DIRECTOR OF YOUTH SERVICES",
"authorized_official_telephone_number": "309-827-6026"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "32510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADC",
"identifier": "32510",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.