COUNTY OF JASPER (NPI# 1780151167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780151167 |
Entity Type | Organization |
Organization Name | COUNTY OF JASPER |
Practice Address |
405 S Whittle Ave Olney IL 62450-2262 |
Mailing Address |
106 Edwards St Newton IL 62448-1736 |
Practice Telephone | 6183923226 |
Mailing Telephone | 6187834154 |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |
Authorized Official Name | JEANNIE JOHNSON (DIRECTOR OF BEHAVIORAL HEALTH) |
Authorized Official Telephone | 6187834154 |
Authorized Official Credential | MS, LCPC, CADC |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF JASPER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Jasper County Health Department | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942700471 | County of Jasper | Community/Behavioral Health | 405 S Whittle Ave, Olney, IL 62450-2262 | 2018-02-21 |
1073782579 | County of Jasper | Clinic/Center | 106 East Edwards, Newton, IL 62448-1736 | 2008-02-28 |
1851410252 | County of Jasper | Public Health or Welfare | 105 Lincoln St, Carthage, MO 64836-1512 | 2007-03-28 |
1205943347 | County of Jasper | Ambulance | 204 W Jourdan St, Newton, IL 62448-1931 | 2006-08-24 |
1992772149 | County of Jasper | Public Health or Welfare | 106 Edwards St, Newton, IL 62448-1736 | 2006-03-07 |
1255333548 | County of Jasper | Ambulance | 1509 Grays Hwy, Ridgeland, SC 29936-5441 | 2005-06-01 |
Street Address |
405 S WHITTLE AVE |
City | OLNEY |
State | IL |
Zip Code | 62450-2262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942700471 | County of Jasper | Community/Behavioral Health | 405 S Whittle Ave, Olney, IL 62450-2262 | 2018-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
Find all providers in zip 62450 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710165279 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 504 Micah Drive, Olney, IL 62450-0913 | 2008-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
Find all providers with the same taxonomy |
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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.