NPIMap

Organization Active NPI

Horizons Behavioral Health LLC

  • Social Worker
  • Crystal Lake, IL
National Provider Identifier
1881692689
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149003952 Issued in IL
Legal business name
HORIZONS BEHAVIORAL HEALTH LLC
Practice address
500 Coventry LN
Suite 205
Crystal Lake, IL 60014-7579
Phone
(815) 455-7100
Fax
(815) 455-3951
NPI assigned
Jul 14, 2005
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Mrs. Melinda Struthers
Title
Office Manager
Phone
(815) 479-5427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149003952 IL Primary

Addresses

Primary practice location

500 Coventry LN
Suite 205
Crystal Lake, IL 60014-7579

Mailing address

500 Coventry LN
Suite 205
Crystal Lake, IL 60014-7579
Phone (815) 455-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040304000369 IL Part B Supplier - Clinic/Group Practice 4385531672 Receives reassigned benefits from 11 practitioners
Practice locations: Crystal Lake, IL

National Provider Directory

National Provider Directory

Locations

500 Coventry Ln
Ste 205
Crystal Lake, IL 60014
Phone (815) 455-7100

2200 W Higgins Rd
Ste 305
Hoffman Estates, IL 60169
Phone (847) 882-7744

700 Geneva Pkwy N
Ste B
Lake Geneva, WI 53147
Phone (262) 248-0111

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1881692689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN",
            "address_2": "SUITE 205",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147579",
            "telephone_number": "815-455-7100",
            "fax_number": "815-455-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN",
            "address_2": "SUITE 205",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147579",
            "telephone_number": "815-455-7100",
            "fax_number": "815-455-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZONS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "STRUTHERS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-479-5427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149003952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.