HUMAN SERVICE CENTER (NPI# 1366755860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366755860 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER |
| Practice Address |
1200 Hamilton Blvd Peoria IL 61606-1525 |
| Mailing Address |
Po Box 1346 600 Fayette Peoria IL 61654-1346 |
| Practice Telephone | 3096718005 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2017-12-12 |
| Authorized Official Name | MICHAEL KENNEDY (PRESIDENT/CEO) |
| Authorized Official Telephone | 3096718000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 042 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225415136 | Human Service Center | Clinic/Center | 3500 W New Leaf Lane, Retreat Wing, Peoria, IL 61615 | 2015-04-29 |
| 1417207861 | Human Service Center | Clinic/Center | 109 West Elm Street, Okawville, IL 62271 | 2012-09-13 |
| 1952615338 | Human Service Center | Community/Behavioral Health | 600 Fayette St, Peoria, IL 61603-3610 | 2010-07-28 |
| 1841504222 | Human Service Center | Community Based Residential Treatment Facility, Mental Illness | 405 Ne Perry Ave, Peoria, IL 61603-3629 | 2010-07-28 |
| 1578876074 | Human Service Center | Community Based Residential Treatment Facility, Mental Illness | 1924 Sw Adams St, Peoria, IL 61602-1718 | 2010-07-26 |
| 1851604359 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2010-07-26 |
| 1144549494 | Human Service Center | Community/Behavioral Health | 3420 N Rochelle Ln, Peoria, IL 61604-1035 | 2010-05-26 |
| 1013245448 | Human Service Center | Community/Behavioral Health | 1005 Ne Jefferson Ave, Peoria, IL 61603-4064 | 2009-11-23 |
| 1033340773 | Human Service Center | Clinic/Center | 3500 W New Leaf Ln, Peoria, IL 61615-3366 | 2009-07-29 |
| 1326279068 | Human Service Center | Clinic/Center | 2101 W Willow Knolls Dr, Peoria, IL 61614-1219 | 2009-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HUMAN SERVICE CENTER | 10257 State Rte 3, Red Bud, IL 62278-4418 |
| Street Address |
1200 HAMILTON BLVD |
| City | PEORIA |
| State | IL |
| Zip Code | 61606-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402211 | Mary Hosbrough | Counselor | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2020-06-20 |
| 1225415144 | Human Service Center | Community/Behavioral Health | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2015-04-29 |
| 1639509136 | Arin Salisbury | Counselor | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2013-11-19 |
| 1851720270 | Deborah Oberg | Counselor | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2013-11-06 |
| 1922349745 | Tera Boettcher | Counselor | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2013-03-04 |
| 1457692279 | Gary Anderson | Counselor | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2013-03-04 |
| 1942540109 | Jennifer Mann | Counselor | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2013-02-26 |
| 1770823999 | Robert Beach | Counselor | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2013-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292334 | Kelley Stork | Speech-Language Pathologist | 807 W Columbia Terrace, Peoria, IL 61606 | 2018-10-25 |
| 1689140519 | Emma Cristine Tully | Speech-Language Pathologist | 1619 W. Fredonia Ave, Peoria, IL 61606 | 2018-10-18 |
| 1316492432 | Jennifer Greenwood | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2016-08-18 |
| 1104944974 | Robert I Martin | Preventive Medicine | 1127 N North Street, Peoria, IL 61606 | 2007-03-27 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1174573307 | Cpo Services, Inc | Prosthetic/Orthotic Supplier | 741 West Main Street, Peoria, IL 61606 | 2006-05-10 |
| 1174025357 | Amy M Durst | Nurse Practitioner | 1001 Main St Ste 500a, Peoria, IL 61606 | 2018-03-05 |
| 1538471099 | Jacob Royle Hopping | Surgery | 1001 Main St Ste 300, Peoria, IL 61606 | 2010-07-12 |
| 1881906410 | Heather Jefford | Clinical Nurse Specialist | 1001 Main St, 3rd Floor, Peoria, IL 61606 | 2010-07-12 |
| 1306874128 | David L Crawford | Surgery | 1001 Main Street, Suite 300, Peoria, IL 61606 | 2006-06-29 |
| Find all providers in zip 61606 | ||||
| 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 |
|---|---|---|---|---|
| 1689192486 | Children's Home Association of Illinois | Clinic/Center | 5401 N Knoxville Ave Ste 412a, Peoria, IL 61614-5021 | 2017-09-01 |
| 1851604359 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2010-07-26 |
| 1245363894 | Phoenix Christian Counseling Associates | Clinic/Center | 8419 W Wethersfield Rd, Peoria, AZ 85381-8123 | 2007-03-13 |
| 1396876140 | Counseling & Family Services | Clinic/Center | 330 Sw Washington St, Peoria, IL 61602-1417 | 2007-03-07 |
| 1235219973 | D Teichmann PC | Clinic/Center | 4715 N Laurel Dr, Peoria, IL 61614-5533 | 2006-10-17 |
| 1689299976 | Phoenix Christian Psychotherapy Services LLC | Clinic/Center | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2020-06-11 |
| 1760918254 | Faith Solutions To Mental Health | Clinic/Center | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2017-05-04 |
| 1740533900 | Children's Home Association of Illinois | Clinic/Center | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2012-10-24 |
| 1093029308 | Human Service Center | Clinic/Center | 2101 W Willow Knolls Dr, Peoria, IL 61614-1219 | 2010-07-28 |
| 1720392038 | Human Service Center | Clinic/Center | 3500 W New Leaf Ln, Peoria, IL 61615-3366 | 2010-07-28 |
| Find all providers in PEORIA | ||||
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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.