NPIMap

Organization Active NPI

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

  • Mental Illness Community Based Residential Treatment Facility
  • East Saint Louis, IL
National Provider Identifier
1891578175
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Practice address
9400 Lebanon Rd
East Saint Louis, IL 62203-2214
Phone
(618) 482-4330
Fax
(618) 482-4351
NPI assigned
Aug 18, 2023
Organization subpart
Yes
Parent organization
COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

9400 Lebanon Rd
East Saint Louis, IL 62203-2214

Mailing address

505 S 8TH St
East Saint Louis, IL 62201-2919
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
Part of
Compregensive Mental He

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": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1891578175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 8TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012919",
            "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": "9400 LEBANON RD",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622032214",
            "telephone_number": "618-482-4330",
            "fax_number": "618-482-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE BEHAVIORAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-14",
        "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_credential": "LCSW, MBA, CADC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "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 Aug 18, 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.