MHCCI LINCOLN (NPI# 1588818256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588818256 |
| Entity Type | Organization |
| Organization Name | MHCCI LINCOLN |
| Practice Address |
515 N College St Lincoln IL 62656-1401 |
| Mailing Address |
710 N 8th St Springfield IL 62702-6324 |
| Practice Telephone | 2177352272 |
| Practice Fax Number | 2177352342 |
| Mailing Telephone | 2175251064 |
| Mailing Fax Number | 2175251651 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | ROBYN L LUKE (ADMINISTRATOR) |
| Authorized Official Telephone | 2175251064 |
| Is Organization Subpart | Y |
| Parent Organization Name | MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
| Street Address |
515 N COLLEGE ST |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641033 | Richard Ethan Bivin | Family Medicine | 515 N College St, Lincoln, IL 62656-1401 | 2005-07-07 |
| 1770121980 | Linda M Fields | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2019-12-18 |
| 1265097737 | Jamie L Steward | Social Worker | 515 N College St, Lincoln, IL 62656-1401 | 2019-05-09 |
| 1346752557 | Jennifer K Fogle | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2017-10-27 |
| 1538683032 | Samantha M Olmstead | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2017-07-27 |
| 1780045229 | Randi Hope | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2016-03-11 |
| 1093189615 | Lindsay Otero | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2015-11-19 |
| 1184000697 | Lyndsey Thorne | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2015-08-06 |
| 1770974800 | Nicole Thomas | Nurse Practitioner | 515 N College St, Lincoln, IL 62656-1401 | 2015-02-11 |
| 1184052201 | Olivia Valdez | Counselor | 515 N College St, Lincoln, IL 62656-1401 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| 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 |
|---|---|---|---|---|
| 1780168344 | David L Sullivan Ladc Plmhp | Clinic/Center | 1620 S 70th St Ste 101, Lincoln, NE 68506-1563 | 2018-09-19 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1124546460 | Bonnie Brown | Clinic/Center | 2130 S 17th St #100, Lincoln, NE 68502-6850 | 2017-09-07 |
| 1225379936 | Brainwavebalance of Lincoln | Clinic/Center | 5930 S 58th St Ste O, Lincoln, NE 68516-3653 | 2013-03-05 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1457396863 | Family Psychiatric Associates of Lincoln P.C. | Clinic/Center | 5539 S 27th St, Suite 206, Lincoln, NE 68512-1611 | 2006-06-19 |
| 1831707868 | Alexandria Reznicek Mental Health Services LLC | Clinic/Center | 5539 S 27th St Ste 101, Lincoln, NE 68512-1600 | 2020-07-15 |
| 1528676749 | Trisha Lott Behavioral Health, LLC | Clinic/Center | 1203 High St, Lincoln, NE 68502-4560 | 2020-07-14 |
| 1811517808 | Morgan M Reichmuth Counseling LLC | Clinic/Center | 8101 O St Ste 300, Lincoln, NE 68510-2647 | 2020-04-20 |
| 1386279347 | Grit Counseling LLC | Clinic/Center | 3701 Union Dr Ste 100, Lincoln, NE 68516-6629 | 2020-03-10 |
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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.