NPIMap

Organization Active NPI

One Hope United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, IL
National Provider Identifier
1841539640
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ONE HOPE UNITED
Practice address
4110 N Water Tower PL
Mount Vernon, IL 62864-6295
Phone
(618) 242-8266
NPI assigned
Feb 14, 2013
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Heather Christine KellyNPI 1801384284
Title
Asst. Director of Behavioral Health
Phone
(217) 273-5398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4110 N Water Tower PL
Mount Vernon, IL 62864-6295

Mailing address

333 S. Wabash Ave
Suite 2750
Chicago, IL 60604-3702
Phone (312) 949-5631

Other identifiers 1

IdentifierTypeStateIssuer
2A00IPI004MedicaidIL

Other names 1

  • One Hope United - Hudelson Region Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
One Hope United28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

4110 N Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 242-8266

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1841539640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S. WABASH AVE",
            "address_2": "SUITE 2750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043702",
            "telephone_number": "312-949-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 N WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646295",
            "telephone_number": "618-242-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOPE UNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "ASST. DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "217-273-5398"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2A00IPI004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Hope United - Hudelson Region",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.