LIVINGSTON COUNTY
NPI 1255398517
Clinic/Center - Community Health in Pontiac, IL

NPI Status: Active since April 28, 2006

Contact Information

310 E TORRANCE AVE
PONTIAC, IL
ZIP 61764
Phone: (815) 844-7174
Fax: (815) 842-1063

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 14D0646839
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 10-31-2026

About LIVINGSTON COUNTY

This page provides the complete NPI Profile along with additional information for Livingston County, a primary care provider established in Pontiac, Illinois operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1255398517 assigned on April 2006. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated April 2025. The provider's . The authorized official of this NPI record is Mrs. Erin Fogarty Phd, Mph, Mches (Administrator)

NPI
1255398517
Provider Legal Name
LIVINGSTON COUNTY
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
310 E TORRANCE AVE PONTIAC, IL 61764
Location Phone
(815) 844-7174
Location Fax
(815) 842-1063
Mailing Address
310 E TORRANCE AVE PONTIAC, IL 61764
Mailing Phone
(815) 844-7174
Mailing Fax
(815) 842-1063
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2006
Last Update Date
04-16-2025
Code Navigator

A primary care provider (PCP) like Livingston County sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ERIN FOGARTY PHD, MPH, MCHES

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(815) 842-5908

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0646839
Facility Type
Other
Certificate Effective Date
November 01, 2024
Certificate Expiration Date
October 31, 2026
Laboratory Director
JAMES SPORRER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Livingston County in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for LIVINGSTON COUNTY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255398517
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105691652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 9 + 1 + 6 + 5 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1255398517 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750431748 ROBERT W KINAS LCPC
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1265582225 JESSICA RUDOLPHI LCPC
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1457556466 KIMBERLY MAYES LPC
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1285820654 CHRISTINE HETCHER
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1588806558LIVINGSTON CO PUBLIC HLTH DEPT
Organization
Clinic/Center (Health Service)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-7174
1871801779 JOE RONALDSON MA
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1245516277 AMY RUDE LSW
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6108
1902183734 ANGELA WALKER
Individual
Counselor310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1255618088 LISA VINSON
Individual
Counselor310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1215204193 CINDY VERDUN
Individual
Counselor310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6107
1013284991 TIFFANY MEINTS
Individual
Counselor310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1386911279 HEATHER TERHORST BS, MHP
Individual
Counselor310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1154760619 PATRICIA MORTENSEN
Individual
Social Worker (Clinical)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1346610649 AGNUS STROJEWSKA BS
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1912126475LIVINGSTON COUNTY MENTAL HEALTH BOARD
Organization
Case Management310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-7708
1144783762 ALYSSA ROSS
Individual
Counselor310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1528585635 SHERRI M BOWALD APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1417599176 KELSEY ANN ANELLO MS
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1285144162 JAIME MICHELLE HENIGMAN MS
Individual
Counselor (Professional)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109
1962980359 JORDAN MARSHALL BS
Individual
Counselor (Mental Health)310 E TORRANCE AVE
PONTIAC, IL 61764
(815) 844-6109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255398517, enumerated in the NPI registry as an "organization" on April 28, 2006

The provider is located at 310 E Torrance Ave Pontiac, Il 61764 and the phone number is (815) 844-7174

This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health

The provider's CLIA number is 14D0646839 for a "other" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on April 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.