COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. (NPI# 1801065289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801065289 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC. |
| Practice Address |
4601 State St East Saint Louis IL 62205-1359 |
| Mailing Address |
3911 State St East Saint Louis IL 62205-2146 |
| Practice Telephone | 6184827330 |
| Practice Fax Number | 6184824351 |
| Mailing Telephone | 6184827330 |
| Mailing Fax Number | 6184824351 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. MARSHA RENEE JOHNSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6184827330 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 251S00000X | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780853408 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1048 State St, East Saint Louis, IL 62201-1908 | 2008-02-27 |
| 1679742506 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1501 S G St, East Saint Louis, IL 62207-2057 | 2008-02-25 |
| 1912176900 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 117 Kingsway Dr, Belleville, IL 62226-5010 | 2008-02-25 |
| 1780853614 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 1500 Wilford Ave, East Saint Louis, IL 62207-2066 | 2008-02-25 |
| 1013186949 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1414 Russell Avenue, East St. Louis, IL 62205-2025 | 2008-02-25 |
| 1427227891 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1437328812 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1730358110 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1144499708 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community Based Residential Treatment Facility, Mental Illness | 505 S 8th St, East Saint Louis, IL 62201-2919 | 2008-02-27 |
| 1437328283 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 505 S 8th St, East Saint Louis, IL 62201 | 2008-02-26 |
| Street Address |
4601 STATE ST |
| City | EAST SAINT LOUIS |
| State | IL |
| Zip Code | 62205-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558344986 | Gerard X Blaise | Dentist | 4601 State St, Ste 300, East Saint Louis, IL 62205-1359 | 2005-11-21 |
| 1013269737 | Illinois Express Home Care | In Home Supportive Care | 4601 State St, East Saint Louis, IL 62205-1359 | 2012-10-04 |
| 1427227891 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1437328812 | Comprehensive Mental Health Center of St. Clair County, Inc. | Clinic/Center | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1730358110 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1255453718 | Howard Franklin Jackson | Podiatrist | 4601 State St, Suite 310, East Saint Louis, IL 62205-1359 | 2007-04-04 |
| 1306853676 | Marshall Katzman | Psychiatry & Neurology | 4601 State St, East Saint Louis, IL 62205-1359 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790156610 | Lessie Bates Davis Neighborhood House | Registered Nurse | 1200 North 13th Street, East Saint Louis, IL 62205 | 2015-10-19 |
| 1114047859 | Herschel Lee Garrett Jr. | Dentist | 4020 Caseyville Ave, East St Louis, IL 62205 | 2007-03-29 |
| 1376871103 | Toni M. Jackson | Massage Therapist | 4806 State St, Home Office, East Saint Louis, IL 62205-1355 | 2009-12-07 |
| 1811347362 | Destinee Hope Grove | Specialist/Technologist | 4901 State St, East Saint Louis, IL 62205-1356 | 2016-06-15 |
| 1053963470 | Stephanie Michelle Tate-patterson | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2019-07-16 |
| 1710406962 | Christa R Dyson-spiller | Nurse Practitioner | 4901 State St, East Saint Louis, IL 62205-1356 | 2017-09-19 |
| 1740247360 | Dolores J Gunn | Family Medicine | 2001 State St, East Saint Louis, IL 62205-1803 | 2006-04-27 |
| 1184845257 | Rina S. Patney | Pediatrics | 2001 State St, East Saint Louis, IL 62205-1803 | 2007-05-02 |
| 1811054935 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 2001 State St, East Saint Louis, IL 62205-1803 | 2007-01-02 |
| 1245396886 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 2001 State St, East Saint Louis, IL 62205-1803 | 2006-12-28 |
| Find all providers in zip 62205 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346557170 | Childrens Home & Aid Soc of Il | Community/Behavioral Health | 907 Martin Luther King Dr, Suite C, East Saint Louis, IL 62201-1704 | 2010-08-31 |
| 1780853408 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1048 State St, East Saint Louis, IL 62201-1908 | 2008-02-27 |
| 1679742506 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 1501 S G St, East Saint Louis, IL 62207-2057 | 2008-02-25 |
| 1427227891 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| 1730358110 | Comprehensive Mental Health Center of St. Clair County, Inc. | Community/Behavioral Health | 4601 State St, East Saint Louis, IL 62205-1359 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | EAST SAINT LOUIS |
| Zip Code | 62205 |
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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.