Organization Active NPI

County of Jasper

Doing business as Jasper County Health Department

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Olney, IL
National Provider Identifier
1780151167
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COUNTY OF JASPER
Doing business as
Jasper County Health Department
Practice address
117 N Boone St
Olney, IL 62450-2109
Phone
(618) 392-3226
NPI assigned
Oct 24, 2018
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF JASPERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Jeannie Johnson, MS, LCPC, CADCNPI 1861715963
Title
Director of Behavioral Health
Phone
(618) 783-4154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

117 N Boone St
Olney, IL 62450-2109

Mailing address

106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4154

Other names 1

  • Jasper County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Jasper8 organizations share this tax ID, including this one
Part of
County of Jasper

Other organizations with this tax ID 7

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

Locations

117 N Boone St
Olney, IL 62450
Phone (618) 392-3226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1780151167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EDWARDS ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481736",
            "telephone_number": "618-783-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N BOONE ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502109",
            "telephone_number": "618-392-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JASPER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF JASPER",
        "enumeration_date": "2018-10-24",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "618-783-4154",
        "authorized_official_credential": "MS, LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jasper County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olney, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.