Organization Active NPI

McLean County Center for H S

  • Community/Behavioral Health Agency
  • Bloomington, IL
National Provider Identifier
1740432632
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MCLEAN COUNTY CENTER FOR H S
Practice address
702 W Mulberry St
Bloomington, IL 61701-2858
Phone
(309) 827-5351
NPI assigned
Oct 22, 2008
Organization subpart
Yes
Parent organization
MCLEAN COUNTY CENTER FOR H SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Tom Barr
Title
Executive Director
Phone
(309) 827-5351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

702 W Mulberry St
Bloomington, IL 61701-2858

Mailing address

108 W Market St
Bloomington, IL 61701-3918
Phone (309) 827-5351

National Provider Directory

National Provider Directory
Tax ID family
McLean County Ctr Human5 organizations share this tax ID, including this one
Part of
McLean County Ctr Human

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1740432632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W MARKET ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013918",
            "telephone_number": "309-827-5351",
            "fax_number": "309-829-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W MULBERRY ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012858",
            "telephone_number": "309-827-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN COUNTY CENTER FOR H S",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEAN COUNTY CENTER FOR H S",
        "enumeration_date": "2008-10-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-827-5351"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.