NPIMap

Organization Active NPI

Christian County Mental Health Association

  • Community/Behavioral Health Agency
  • Taylorville, IL
National Provider Identifier
1831267210
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION
Practice address
730 N Pawnee St
Taylorville, IL 62568-1400
Phone
(217) 824-4905
Fax
(217) 824-3570
NPI assigned
Dec 1, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Becky Carroll
Title
Records Clerk
Phone
(217) 824-4905

Specialties & licenses 1

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

Addresses

Primary practice location

730 N Pawnee St
Taylorville, IL 62568-1400

Mailing address

PO Box 438
Taylorville, IL 62568-0438
Phone (217) 824-4905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000319 IL Part B Supplier - Clinic/Group Practice 3072592195 Receives reassigned benefits from 1 practitioner
Practice locations: Taylorville, IL

National Provider Directory

National Provider Directory
Tax ID family
Christian Cnty Mental H6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1831267210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625680438",
            "telephone_number": "217-824-4905",
            "fax_number": "217-824-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N PAWNEE ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681400",
            "telephone_number": "217-824-4905",
            "fax_number": "217-824-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "RECORDS CLERK",
        "authorized_official_telephone_number": "217-824-4905"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.