Active NPI
Bethany for Children & Families
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
National Provider Identifier
1932178183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BETHANY FOR CHILDREN & FAMILIES
- Practice address
- 1701 River Dr Ste 200
Moline, IL 61265-1384 - Phone
- (309) 797-7700
- Fax
- (309) 797-2386
- NPI assigned
- Mar 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Christopher
- Title
- Contracting & Credentialing Coordin
- Phone
- (563) 327-0203
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| School Counselor | 101YS0200X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| School Social Worker | 1041S0200X | |||
| Dentist | 122300000X | |||
| Public Health Dentistry | 1223D0001X | |||
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 1223P0221X | |||
| Dental Hygienist | 124Q00000X | |||
| Dental Assistant | 126800000X | |||
| Dental Laboratory Technician | 126900000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1701 River Dr Ste 200
Moline, IL 61265-1384
Mailing address
1701 River Dr
Moline, IL 61265-1384
Phone (309) 797-7700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104307 | Medicaid | IA | |
| 310510 | Medicaid | IL | |
| 1B00-IPI-014 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Bethany for Children Families
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1174228639
-
- Dentist
- Moline, IL
- NPI 1982475570
Locations
2195 E 53rd St
Davenport, IA 52807
Phone (309) 797-7700
115 S 2nd St
Maquoketa, IA 52060
Phone (563) 324-9169
1830 6th Ave
Moline, IL 61265
Phone (309) 749-8380
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- De Witt, IA
- NPI 1841603842
-
- Social Worker
- Davenport, IA
- NPI 1922780444
-
- Social Worker
- Davenport, IA
- NPI 1073289062
-
- Clinical Social Worker
- Davenport, IA
- NPI 1932522059
-
- Clinical Social Worker
- Davenport, IA
- NPI 1407373830
-
- Social Worker
- Davenport, IA
- NPI 1376904342
-
- Social Worker
- Davenport, IA
- NPI 1245469659
-
- Clinical Social Worker
- Davenport, IA
- NPI 1174727168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1932178183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 RIVER DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651384",
"telephone_number": "309-797-7700",
"fax_number": "309-797-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 RIVER DR STE 200",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651384",
"telephone_number": "309-797-7700",
"fax_number": "309-797-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY FOR CHILDREN & FAMILIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "CHRISTOPHER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "CONTRACTING & CREDENTIALING COORDIN",
"authorized_official_telephone_number": "563-327-0203"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "126800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "126900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Laboratory Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104307",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310510",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1B00-IPI-014",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.