NPIMap

Organization Active NPI

Community Resource & Counseling Center Inc

Doing business as CRCC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paxton, IL
National Provider Identifier
1972567261
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMMUNITY RESOURCE & COUNSELING CENTER INC
Doing business as
CRCC
Practice address
1510 W Ottawa Rd
Paxton, IL 60957
Phone
(217) 379-4302
Fax
(217) 817-0379
NPI assigned
Apr 13, 2006
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Lynn Mathews, LCPCNPI 1750530135
Title
Executive Director
Phone
(217) 379-4302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1510 W Ottawa Rd
Paxton, IL 60957

Mailing address

1510 W Ottawa Rd
PO Box 162
Paxton, IL 60957
Phone (217) 379-4302

Other names 1

  • CRCC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000893 IL Part B Supplier - Clinic/Group Practice 6608861174 Receives reassigned benefits from 8 practitioners
Practice locations: Paxton, IL

National Provider Directory

National Provider Directory
Tax ID family
Community Resource and Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1510 W Ottawa Rd
Paxton, IL 60957
Phone (217) 379-4302

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1972567261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W OTTAWA RD",
            "address_2": "PO BOX 162",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "60957",
            "telephone_number": "217-379-4302",
            "fax_number": "217-379-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W OTTAWA RD",
            "city": "PAXTON",
            "state": "IL",
            "postal_code": "60957",
            "telephone_number": "217-379-4302",
            "fax_number": "217-817-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESOURCE & COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-379-4302",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRCC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paxton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.