CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
NPI 1285693630
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bloomington, IL
NPI Status: Active since March 22, 2006
Contact Information
502 S MORRIS AVE
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 636-8041
Fax: (309) 636-8097
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
This page provides the complete NPI Profile along with additional information for Catholic Charities Of The Diocese Of Peoria, a provider established in Bloomington, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1285693630 assigned on March 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Peggy A. Arizzi Msw, Lcsw (Executive Director)
- NPI
- 1285693630
- Provider Name
- CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
- Entity Type
- Organization
- Location Address
- 502 S MORRIS AVE BLOOMINGTON, IL 61701
- Location Phone
- (309) 636-8041
- Location Fax
- (309) 636-8097
- Mailing Address
- 2900 W HEADING AVE WEST PEORIA, IL 61604
- Mailing Phone
- (309) 636-8012
- Mailing Fax
- (309) 636-8097
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2006
- Last Update Date
- 08-21-2008
- Code Navigator
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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| =========030 | MEDICAID (05) | IL |
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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. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 9 | 3 | 6 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 9 | 6 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 9 + 6 + 6 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1285693630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861723470 | MRS. PAMALA ANN FARNHAM LCSW Individual | Social Worker (Clinical) | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1669752960 | IMMANUEL HEALTH CENTER Organization | Clinic/Center (Primary Care) | 502 S MORRIS AVE SUITE A BLOOMINGTON, IL 61701 (309) 824-7485 |
| 1255885570 | ASHLEY LANGLEY APN Individual | Nurse Practitioner (Family) | 502 S MORRIS AVE SUITE D BLOOMINGTON, IL 61701 (309) 808-2778 |
| 1992230809 | MYCHELE KENNEY LCPC Individual | Counselor (Mental Health) | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1568973279 | JESSICA WOLF LCPC Individual | Counselor (Professional) | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1447869680 | MRS. JENNIFER LAUREN WOODRUM MS Individual | Counselor (Professional) | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1154930394 | LUCAS SAWISCH Individual | Counselor (Mental Health) | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1467070037 | JORDAN WAYNE SCHAEFER MSW Individual | Counselor | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (815) 916-5451 |
| 1366579906 | MS. STEPHANIE ANN BARISCH MS, LCPC Individual | Counselor (Professional) | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1427632983 | BRIAN JAMES HANSON MA, CADC Individual | Counselor (Mental Health) | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1144593088 | THE CENTER FOR YOUTH AND FAMILY SOLUTIONS, INC Organization | Foster Care Agency | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1174377030 | GABRIELLE ANDERSON Individual | Counselor | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1215781174 | CHELSEY BAKER Individual | Counselor | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1720832694 | JORGE VAZQUEZ Individual | Counselor | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
| 1841046620 | ALEXANDRIA BLACKMON-NELSON Individual | Counselor | 502 S MORRIS AVE BLOOMINGTON, IL 61701 (309) 820-7616 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285693630, enumerated in the NPI registry as an "organization" on March 22, 2006
The provider is located at 502 S Morris Ave Bloomington, Il 61701 and the phone number is (309) 636-8041
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 22, 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].
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