COUNTY OF MCLEAN (NPI# 1770140964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770140964 |
| Entity Type | Organization |
| Organization Name | COUNTY OF MCLEAN |
| Other Organization Name | MCLEAN COUNTY TRIAGE CENTER |
| Practice Address |
200 W Front St, 1st Floor Sw C/o 200 W Front St, Suite 400f Bloomington IL 61701 |
| Mailing Address |
200 W Front St, Suite 400f Attn: Trisha Malott, Bhcc Supervisor Bloomington IL 61701-1201 |
| Practice Telephone | 3094346510 |
| Practice Fax Number | 3098885111 |
| Mailing Telephone | 3094346510 |
| Mailing Fax Number | 3098885111 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | TRISHA P MALOTT (LCSW) |
| Authorized Official Telephone | 3094346510 |
| 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 |
| Other Name | Type Code |
|---|---|
| McLean County Triage Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675634 | County of Mclean | Clinic/Center | 200 W Front St Ste 400e, Bloomington, IL 61701-5048 | 2019-05-20 |
| 1871513655 | County of Mclean | Clinic/Center | 200 W Front St, Bloomington, IL 61701-5048 | 2006-07-21 |
| 1174512016 | County of Mclean | Skilled Nursing Facility | 901 N Main St, Normal, IL 61761-1501 | 2005-10-13 |
| Street Address |
200 W FRONT ST, 1ST FLOOR SW C/O 200 W FRONT ST, SUITE 400F |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1114276177 | Cynthia Johnson | Occupational Therapist | 2200 East Washington St, Bloomington, IL 61701 | 2012-09-06 |
| Find all providers in zip 61701 | ||||
| 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 |
|---|---|---|---|---|
| 1083214159 | Amber Kinney, LLC | Clinic/Center | 623 S Washington St Apt A, Bloomington, IN 47401-5645 | 2020-10-28 |
| 1710585997 | Bloomington Neurofeedback | Clinic/Center | 1905 S Liberty Dr, Bloomington, IN 47403-5146 | 2020-10-11 |
| 1235744533 | Integrity Counseling, Inc. | Clinic/Center | 502 S Morris Ave Unit D, Bloomington, IL 61701-4891 | 2020-09-13 |
| 1326658568 | Jennifer Steinmetz Msw LLC | Clinic/Center | 115 N College Ave Ste 225, Bloomington, IN 47404-4099 | 2020-08-03 |
| 1376174904 | Karen Brosius LLC | Clinic/Center | 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 | 2020-02-02 |
| 1023675634 | County of Mclean | Clinic/Center | 200 W Front St Ste 400e, Bloomington, IL 61701-5048 | 2019-05-20 |
| 1982175212 | Blue Skies Counseling LLC | Clinic/Center | 200 W Monroe St # 302a, Bloomington, IL 61701-3997 | 2018-12-16 |
| 1740705946 | Sea Glass Counseling, LLC | Clinic/Center | 2103 E Washington St Ste 2f, Bloomington, IL 61701-4365 | 2017-08-08 |
| 1164813671 | Inspiring Enterprises, LLC | Clinic/Center | 202 N Prospect Rd, Suite 207, Bloomington, IL 61704-7914 | 2015-02-05 |
| 1659761633 | Minnesota Counseling and Therapy Center | Clinic/Center | 140 W 98th St Ste 105, Bloomington, MN 55420-4800 | 2015-01-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on COUNTY OF MCLEAN.
| 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.