NPIMap

Organization Active NPI

Visions LLC

  • Adult Mental Health Clinic/Center
  • Belleville, IL
National Provider Identifier
1922792076
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
VISIONS LLC
Practice address
5801 Mount Pleasant LN
Belleville, IL 62223-3944
Phone
(618) 489-5102
Fax
(618) 489-5103
NPI assigned
Jun 2, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VISIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Mr. Dave Jaques, PHD
Title
Ceo
Phone
(314) 560-7063

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

5801 Mount Pleasant LN
Belleville, IL 62223-3944

Mailing address

5801 Mount Pleasant LN
Belleville, IL 62223-3944
Phone (618) 489-5102

Other practice location 1

3306 S 6th Street Rd
Springfield, IL 62703-4735
Phone (217) 638-4211

National Provider Directory

National Provider Directory
Tax ID family
Visions LLC3 organizations share this tax ID, including this one
Part of
Visions LLC

Other organizations with this tax ID 2

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

Locations

5801 Mount Pleasant Ln
Belleville, IL 62223
Phone (618) 314-1746

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1922792076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 MOUNT PLEASANT LN",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233944",
            "telephone_number": "618-489-5102",
            "fax_number": "618-489-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 MOUNT PLEASANT LN",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233944",
            "telephone_number": "618-489-5102",
            "fax_number": "618-489-5103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3306 S 6th Street Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627034735",
            "country_code": "US",
            "telephone_number": "217-638-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISIONS LLC",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "JAQUES",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-560-7063",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.