CHESTNUT HEALTH SYSTEMS, INC. (NPI# 1245781079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245781079 |
| Entity Type | Organization |
| Organization Name | CHESTNUT HEALTH SYSTEMS, INC. |
| Practice Address |
1003 Martin Luther King Dr Bloomington IL 61701-1429 |
| Practice Telephone | 3098276026 |
| Mailing Telephone | 3098276026 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | MELISSA LYNN COOPER (MANAGED CARE SUPERVIOSR) |
| Authorized Official Telephone | 3098203535 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0126-0010-A | IL | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ILDHS | A-0126-0010-A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992179642 | Chestnut Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 110 Rottingham Ct, Suite B, Edwardsville, IL 62025-3788 | 2015-11-18 |
| 1770850075 | Chestnut Health Systems, Inc. | Clinic/Center | 648 State St Bldg B, Madison, IL 62060-1420 | 2011-11-30 |
| 1902184054 | Chestnut Health Systems, Inc. | Clinic/Center | 648 State St Bldg A, Madison, IL 62060-1420 | 2011-07-22 |
| 1194021485 | Chestnut Health Systems, Inc. | Case Management | 732 S Illinois St, Belleville, IL 62220-2142 | 2011-02-03 |
| 1346566445 | Chestnut Health Systems, Inc. | Community Based Residential Treatment Facility, Mental Illness | 814 Saint Louis Rd, Apt. 232, Collinsville, IL 62234-2023 | 2010-04-14 |
| 1912371824 | Chestnut Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 370 Houbolt Rd, Suite 101, Joliet, IL 60431-8303 | 2015-11-17 |
| 1043587348 | Chestnut Health Systems, Inc. | Case Management | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2011-11-30 |
| 1003194150 | Chestnut Health Systems, Inc. | Clinic/Center | 3924 Oakmont Dr, Pontoon Beach, IL 62040-4395 | 2011-07-22 |
| 1558649608 | Chestnut Health Systems, Inc. | Case Management | 5109 N Illinois St, Apt. 101, Fairview Heights, IL 62208-3405 | 2011-07-22 |
| 1386922433 | Chestnut Health Systems, Inc. | Clinic/Center | 1218 19th St, Granite City, IL 62040-4501 | 2011-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CHESTNUT HEALTH SYSTEMS, INC. | 1003 Martin Luther King Drive, Bloomington, IL 61701 |
| Washington State Corporations | CHESTNUT HEALTH SYSTEMS, INC. | 1003 Martin Luther King Dr, Bloomington, IL 61701 |
| Street Address |
1003 MARTIN LUTHER KING DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431686 | Chestnut Health Systems Inc | Substance Abuse Rehabilitation Facility | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2005-10-19 |
| 1740889252 | Shelby Lynn Harvey | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-10-26 |
| 1821619545 | Matthew William Porzel | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-05-05 |
| 1669092482 | Angie Marie Lessen | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-04-22 |
| 1659905560 | Kristen Satchwell | Social Worker | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-02-29 |
| 1952941676 | John Lorio | Social Worker | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-01-10 |
| 1437792835 | Sehar Reshamwala | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2019-10-18 |
| 1760974737 | Brittany Cline | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-06-05 |
| 1740770742 | Jason Daniel Reel-haas | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-05-15 |
| 1831692078 | Lisa Kelly Jones | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1568821940 | Guidance Treatment Home, LLC | Substance Abuse Rehabilitation Facility | 8735 Portland Ave S Apt 301, Bloomington, MN 55420-2961 | 2016-02-15 |
| 1710364450 | Social Science Services, Inc. | Substance Abuse Rehabilitation Facility | 10888 Maple Ave, Bloomington, CA 92316-2621 | 2015-05-01 |
| 1609021997 | Chestnut Health Systems | Substance Abuse Rehabilitation Facility | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2008-12-01 |
| 1861648412 | Social Science Services, Inc. | Substance Abuse Rehabilitation Facility | 18612 Santa Ana Ave, Bloomington, CA 92316-2636 | 2008-08-14 |
| 1710103304 | Dorothy R Garnette | Substance Abuse Rehabilitation Facility | 18612 Santa Ana Ave, Bloomington, CA 92316-2636 | 2007-04-18 |
| 1548303480 | Social Science Services Inc. | Substance Abuse Rehabilitation Facility | 18612 Santa Ana Ave, Bloomington, CA 92316-2636 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
| 1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
| 1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.