NPIMap

Organization Active NPI

Comprehensive Mental Health Center of St. Clair County, Inc.

  • Community/Behavioral Health Agency
  • East Saint Louis, IL
National Provider Identifier
1801065289
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
251S00000X Issued in IL
Legal business name
COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Practice address
4601 State St
East Saint Louis, IL 62205-1359
Phone
(618) 482-7330
Fax
(618) 482-4351
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Mr. Joseph Harper, LCSW, MBA, CADC
Title
Executive Director
Phone
(618) 482-7330

Specialties & licenses 1

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

Addresses

Primary practice location

4601 State St
East Saint Louis, IL 62205-1359

Mailing address

3911 State St
East Saint Louis, IL 62205-2146
Phone (618) 482-7330

Other identifiers 1

IdentifierTypeStateIssuer
04037MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Compregensive Mental He19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1801065289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052146",
            "telephone_number": "618-482-7330",
            "fax_number": "618-482-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051359",
            "telephone_number": "618-482-7330",
            "fax_number": "618-482-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-482-7330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, MBA, CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04037",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Saint Louis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.