PIATT COUNTY MENTAL HEALTH CENTER (NPI# 1508974197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508974197 |
| Entity Type | Organization |
| Organization Name | PIATT COUNTY MENTAL HEALTH CENTER |
| Practice Address |
1921 N Market St Monticello IL 61856-8144 |
| Practice Telephone | 2177625371 |
| Practice Fax Number | 2177624066 |
| Mailing Telephone | 2177625371 |
| Mailing Fax Number | 2177624066 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN LOCHBAUM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2177625371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | ========= | IL | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A0277001A | IL | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
========= | IL | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
========= | IL | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | ========= | IL | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
========= | IL | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | ========= | IL | Behavioral Health & Social Service Providers |
| X | 251B00000X | Case Management | ========= | IL | Agencies |
| X | 251C00000X | Day Training, Developmentally Disabled Services | ========= | IL | Agencies |
| X | 251J00000X | Nursing Care | ========= | IL | Agencies |
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
3709251539 | IL | Ambulatory Health Care Facilities |
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
========= | IL | Ambulatory Health Care Facilities |
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
========= | IL | Ambulatory Health Care Facilities |
| X | 385H00000X | Respite Care | ========= | IL | Respite Care Facility |
| X | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
========= | IL | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861904187 | Piatt County Mental Health Center | Clinic/Center | 1921 N Market St, Monticello, IL 61856-8144 | 2017-10-26 |
| Street Address |
1921 N MARKET ST |
| City | MONTICELLO |
| State | IL |
| Zip Code | 61856-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821584863 | Ashley Crain | Counselor | 1921 N Market St, Monticello, IL 61856-8144 | 2018-07-02 |
| 1427563451 | Janet A. Ruckman | Social Worker | 1921 N Market St, Monticello, IL 61856-8144 | 2017-12-13 |
| 1861904187 | Piatt County Mental Health Center | Clinic/Center | 1921 N Market St, Monticello, IL 61856-8144 | 2017-10-26 |
| 1619326121 | Piatt County M H Center | Case Management | 1921 N Market St, Monticello, IL 61856-8144 | 2016-06-06 |
| 1952654584 | Tara C Beckett | Social Worker | 1921 N Market St, Monticello, IL 61856-8144 | 2012-10-19 |
| 1245552678 | Melissa Anne Cox | Counselor | 1921 N Market St, Monticello, IL 61856-8144 | 2010-02-26 |
| 1821324880 | David Michael Bowman | Counselor | 1921 N Market St, Monticello, IL 61856-8144 | 2009-10-27 |
| 1114168937 | Jaime L Porter | Social Worker | 1921 N Market St, Monticello, IL 61856-8144 | 2009-03-09 |
| 1316058456 | Piatt County Transportation | Non-emergency Medical Transport (VAN) | 1921 N Market St, Monticello, IL 61856-8144 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
| 1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
| 1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
| 1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
| 1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
| 1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
| 1922389089 | Anne Katherine Marshall | Physician Assistant | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-09-02 |
| 1790089548 | Kristine R Donaldson | Social Worker | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-01-07 |
| 1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
| 1811954878 | Brian C Yocks | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856 | 2006-04-26 |
| Find all providers in zip 61856 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861993438 | Darla Ann Crabb | Counselor | 920 W Executive Ct, Monticello, IN 47960-1961 | 2018-02-28 |
| 1194180588 | Shanomia Francis | Counselor | 180 Florida St, Monticello, FL 32344-2217 | 2015-12-29 |
| 1699149872 | Atarri Hall | Counselor | 790 Tung St, Monticello, FL 32344-2830 | 2015-11-25 |
| 1194194076 | Emily Stell | Counselor | 600 Highway 425 N, Suite B, Monticello, AR 71655-4020 | 2015-09-21 |
| 1730510454 | Lisa Roberts | Counselor | 1440 Old Bethel Church Road, Monticello, KY 42633-1210 | 2013-12-05 |
| 1710320882 | Jarryn Robinson | Counselor | 583 W Gaines St, Monticello, AR 71655-4637 | 2013-04-09 |
| 1114270451 | Katherine Sue Wisehart | Counselor | 105 East Lafayette, Monticello, MO 63457 | 2012-10-24 |
| 1225381056 | Samantha Mckinney | Counselor | 571 W Gaines St, Monticello, AR 71655-4637 | 2012-10-17 |
| 1205058476 | Elizabeth Hannah Johnson | Counselor | 818 West First Street, Monticello, IA 52310 | 2007-05-03 |
| 1861509374 | Carmen Lynn Hudgins | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2006-08-23 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 61856 |
Please comment or provide details below to improve the information on PIATT COUNTY MENTAL HEALTH CENTER.
| 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.