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).
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 |
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 Name | Type Code |
---|---|
LifeLinks Mental Health | Doing Business As Name - Organization |
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 |
Street Address |
750 BROADWAY AVE E |
City | MATTOON |
State | IL |
Zip Code | 61938-4610 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 61938 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.