COLES COUNTY MENTAL HEALTH ASSOCIATION, INC.


Address: 750 Broadway Ave E, Mattoon, IL 61938-4610
Phone: 2172385700

COLES COUNTY MENTAL HEALTH ASSOCIATION, INC. (NPI# 1942203914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942203914
Entity Type Organization
Organization Name COLES COUNTY MENTAL HEALTH ASSOCIATION, INC.
Other Organization Name LIFELINKS MENTAL HEALTH
Practice Address 750 Broadway Ave E
Mattoon
IL 61938-4610
Practice Telephone 2172385700
Practice Fax Number 2172385767
Mailing Telephone 2172385700
Mailing Fax Number 2172385767
Enumeration Date 2005-05-24
Last Update Date 2018-04-27
Authorized Official Name MRS. LYNETTE ASHMORE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2172385700
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LifeLinks Mental Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568900454 Coles County Mental Health Association, Inc. Community/Behavioral Health 302 N Mill St, Greenup, IL 62428 2017-02-10
1083892327 Coles County Mental Health Association, Inc. Community Based Residential Treatment Facility, Mental Illness 1305 Wabash Ave, Mattoon, IL 61938-4019 2008-02-08
1548448913 Coles County Mental Health Association, Inc. Community Based Residential Treatment Facility, Mental Illness 1504 20th St, Charleston, IL 61920-3615 2008-02-07
1164600979 Coles County Mental Health Association, Inc. Community Based Residential Treatment Facility, Mental Illness 415 18th St, Charleston, IL 61920-2399 2008-02-04
1669084877 Coles County Mental Health Association, Inc. Clinic/Center 1701 S Prospect Ave Ste 205, Champaign, IL 61820-7054 2020-08-19
1487165577 Coles County Mental Health Association, Inc. Community/Behavioral Health 1275 Hawthorn Rd, Salem, IL 62881-1028 2017-10-17
1053763250 Coles County Mental Health Association, Inc. Community/Behavioral Health 626 W Lincoln Ave, Charleston, IL 61920-2444 2016-07-12
1154788545 Coles County Mental Health Association, Inc. Community/Behavioral Health 700 Broadway Ave E, Mattoon, IL 61938-4671 2016-01-15
1831213669 Coles County Mental Health Association, Inc. Private Vehicle 750 Broadway Ave E, Mattoon, IL 61938-4610 2007-03-19

Office Location

Street Address 750 BROADWAY AVE E
City MATTOON
State IL
Zip Code 61938-4610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962003384 Darren Victor Mathias Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-11-03
1811595341 Alexander Rojas Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-10-16
1669070181 Selina Nicole Satterfield Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-10-16
1376159970 Tammy Dahlke Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-09-18
1326654914 Morgan Hummel Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-09-18
1194330217 Chelsea Brettin Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-09-15
1760091458 Jessica Frields Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-07-28
1619586906 Lisa Ann Harrison Registered Nurse 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-07-23
1588272637 Jessica Blazich Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-07-15
1871101915 Lyndsy Christman Counselor 750 Broadway Ave E, Mattoon, IL 61938-4610 2020-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043831134 St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or Clinic/Center 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 2020-04-30
1215436449 Sarah Bush Lincoln Health Center Durable Medical Equipment & Medical Supplies 300 Coles Centre Pkwy, Mattoon, IL 61938 2018-02-02
1841707726 Mattoon Chiropractic LLC Chiropractor 905 Remington Rd, Mattoon, IL 61938 2018-01-02
1164892758 Dr. Charles L. Schnibben Ltd. Dentist 1502 Lakeland Blvd, Mattoon, IL 61938 2015-09-25
1982000139 Judy A. Clark Hearing Instrument Specialist 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 2014-11-17
1023419884 Christopher Steven Lillie Physician Assistant 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 2014-09-11
1295055168 Jennifer Harp Mechanotherapist 232 Richmond Ave East, Mattoon, IL 61938 2010-06-02
1447482682 Gene Clark Hearing Aid Service Hearing Aid Equipment 208 Wabash, Mattoon, IL 61938 2009-08-21
1326229774 Central Illinois Family Health Center Nurse Practitioner 10555 East County Rd 800 North, Mattoon, IL 61938 2007-11-14
1568656445 Bernie Ranchero Family Medicine 1004 Health Center Dr Ste 210, Mattoon, IL 61938 2007-09-04
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1346848785 Wellness Hearted Therapy LLC Clinic/Center 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 2020-10-16
1457959256 Association for Individual Development Clinic/Center 708 N Bridge St, Yorkville, IL 60560-1105 2020-10-14
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1881291789 Jessica Weisbach, LLC Clinic/Center 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 2020-10-04
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Competitor

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City MATTOON
Zip Code 61938

Improve Information

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Dataset Information

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.

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