COMMUNITY ELEMENTS, INC (NPI# 1093962961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093962961 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ELEMENTS, INC |
| Other Organization Name | HEALEY GROUP HOME |
| Practice Address |
614 W Healey St Champaign IL 61820-5025 |
| Mailing Address |
1801 Fox Dr Champaign IL 61820-7236 |
| Practice Telephone | 2173988080 |
| Mailing Telephone | 2173988080 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2013-09-04 |
| Authorized Official Name | MS. SHEILA FERGUSON (CHIEF EXEC OFFICER) |
| Authorized Official Telephone | 2173988080 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY ELEMENTS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 1831167337 | 01 | |
| BLUE CROSS | 1831167337 | 01 |
| Other Name | Type Code |
|---|---|
| Healey Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649427345 | Community Elements, Inc | Clinic/Center | 405 E Elm St, Urbana, IL 61802-3360 | 2008-08-25 |
| 1427205103 | Community Elements, Inc | Clinic/Center | 1105 Carroll Ave, Urbana, IL 61802-1900 | 2008-08-25 |
| 1740437532 | Community Elements, Inc | Clinic/Center | 1300 Crane Ave, Rantoul, IL 61866-4000 | 2008-08-22 |
| 1700033495 | Community Elements, Inc | Clinic/Center | 502 N Market St, Champaign, IL 61820-3634 | 2008-08-25 |
| 1508013475 | Community Elements, Inc | Clinic/Center | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2008-08-22 |
| 1114174075 | Community Elements, Inc | Clinic/Center | 401 W Springfield Ave, Champaign, IL 61820-4716 | 2008-08-22 |
| Street Address |
614 W HEALEY ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285081653 | Rosecrance Inc | Clinic/Center | 614 W Healey St, Champaign, IL 61820 | 2016-05-16 |
| 1104257195 | Hannah Summers | Social Worker | 614 W Healey St, Champaign, IL 61820-5025 | 2013-12-02 |
| 1083054852 | Kattie Killion | Counselor | 614 W Healey St, Champaign, IL 61820-5025 | 2013-06-26 |
| 1821433939 | Jennifer Britt | Social Worker | 614 W Healey St, Champaign, IL 61820-5025 | 2013-05-02 |
| 1851734867 | Kasheena M Thomas | Counselor | 614 W Healey St, Champaign, IL 61820-5025 | 2013-04-09 |
| 1629312426 | Kelly Michael Turner | Social Worker | 614 W Healey St, Champaign, IL 61820-5025 | 2012-11-16 |
| 1467703603 | Tempestt Gill | Social Worker | 614 W Healey St, Champaign, IL 61820-5025 | 2012-09-27 |
| 1720336134 | Joanna L Pickering | Counselor | 614 W Healey St, Champaign, IL 61820-5025 | 2012-08-16 |
| 1104183995 | Aubree Justine Henderson | Social Worker | 614 W Healey St, Champaign, IL 61820-5025 | 2012-04-18 |
| 1255628251 | Teresa Tufte | Social Worker | 614 W Healey St, Champaign, IL 61820-5025 | 2011-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955037 | Martin Srajek, Phd., Lcsw, Ltd | Clinic/Center | 206 N Randolph St Ste 534-36, Champaign, IL 61820-3949 | 2020-02-28 |
| 1467772160 | Lutheran Social Services of Il | Clinic/Center | 103 S Country Fair Dr, Champaign, IL 61821-3061 | 2010-06-03 |
| 1619124302 | Community Elements, Inc. | Clinic/Center | 801 N Walnut St, Champaign, IL 61820-3055 | 2008-08-25 |
| 1831167337 | Community Elements Inc | Clinic/Center | 1801 Fox Dr, Champaign, IL 61820-7236 | 2006-03-09 |
| 1669084877 | Coles County Mental Health Association, Inc. | Clinic/Center | 1701 S Prospect Ave Ste 205, Champaign, IL 61820-7054 | 2020-08-19 |
| 1174084677 | Family Service of Champaign County | Clinic/Center | 405 S State St, Champaign, IL 61820-5129 | 2019-03-27 |
| 1083104558 | Rosecrance, Inc. | Clinic/Center | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2018-05-10 |
| 1902311442 | Rosecrance, Inc. | Clinic/Center | 122 W Hill St, Champaign, IL 61820-3519 | 2017-12-06 |
| 1871047209 | Cunningham Children's Home of Urbana Il | Clinic/Center | 701 Devonshire Dr, Champaign, IL 61820-7337 | 2016-08-15 |
| 1427406859 | Rosecrance Inc | Clinic/Center | 1801 Fox Dr, Champaign, IL 61820 | 2016-05-26 |
| Find all providers in CHAMPAIGN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.