Organization Active NPI

Livingston County Mental Health Board

  • Case Management Agency
  • Pontiac, IL
National Provider Identifier
1912126475
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIVINGSTON COUNTY MENTAL HEALTH BOARD
Practice address
310 E Torrance Ave
Pontiac, IL 61764-2748
Phone
(815) 844-7708
Fax
(815) 844-7712
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Christine M Myers, SW
Title
Executive Director
Phone
(815) 844-7708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

310 E Torrance Ave
Pontiac, IL 61764-2748

Mailing address

310 E Torrance Ave
P O Box 504
Pontiac, IL 61764-2748
Phone (815) 844-7708

National Provider Directory

National Provider Directory

Locations

310 E Torrance Ave
Pontiac, IL 61764
Phone (815) 844-6109

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1912126475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E TORRANCE AVE",
            "address_2": "P O BOX 504",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642748",
            "telephone_number": "815-844-7708",
            "fax_number": "815-844-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E TORRANCE AVE",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642748",
            "telephone_number": "815-844-7708",
            "fax_number": "815-844-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON COUNTY MENTAL HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-844-7708",
        "authorized_official_credential": "SW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.