COMMUNITY ELEMENTS, INC. (NPI# 1619124302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619124302 |
Entity Type | Organization |
Organization Name | COMMUNITY ELEMENTS, INC. |
Other Organization Name | WALNUT OFFICE LOCATION |
Practice Address |
801 N Walnut St Champaign IL 61820-3055 |
Mailing Address |
1801 Fox Dr Champaign IL 61820-7236 |
Practice Telephone | 2173988080 |
Mailing Telephone | 2173988080 |
Enumeration Date | 2008-08-25 |
Last Update Date | 2013-09-24 |
Authorized Official Name | 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 |
---|---|---|---|
BLUE CROSS | 1831167337 | 01 | |
TRICARE | 1831167337 | 01 |
Other Name | Type Code |
---|---|
Walnut Office Location | Other Name - Individual/Organization |
Street Address |
801 N WALNUT ST |
City | CHAMPAIGN |
State | IL |
Zip Code | 61820-3055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780217687 | Devin Lanin | Counselor | 801 N Walnut St, Champaign, IL 61820-3055 | 2020-02-19 |
1205475340 | Rachel Marie Schoener | Social Worker | 801 N Walnut St, Champaign, IL 61820-3055 | 2020-01-06 |
1184268351 | Karissa Yu | Social Worker | 801 N Walnut St, Champaign, IL 61820-3055 | 2019-10-31 |
1710549688 | Ashley Lucas | Social Worker | 801 N Walnut St, Champaign, IL 61820-3055 | 2019-07-01 |
1184102345 | Michael Joe Jenkins | Social Worker | 801 N Walnut St, Champaign, IL 61820-3055 | 2018-07-31 |
1073099529 | Kaja Switalska | Social Worker | 801 N Walnut St, Champaign, IL 61820-3055 | 2018-07-18 |
1023560687 | Elizabeth Dahl | Social Worker | 801 N Walnut St, Champaign, IL 61820-3055 | 2016-10-31 |
1518415074 | Kawana La'shaye Hunter | Social Worker | 801 N Walnut St, Champaign, IL 61820-3055 | 2016-09-13 |
1760939532 | Christine Thompson | Social Worker | 801 N Walnut St, Champaign, IL 61820-3055 | 2016-09-08 |
1174078414 | Matt Krafcky | Counselor | 801 N Walnut St, Champaign, IL 61820-3055 | 2016-08-16 |
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 |
1093962961 | Community Elements, Inc | Clinic/Center | 614 W Healey St, Champaign, IL 61820-5025 | 2008-08-22 |
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.