| Coles County Mental Health Association, Inc. | |
|
750 Broadway Ave E Mattoon IL 61938-4610 | |
| (217) 238-5700 | |
| (217) 238-5767 |
| Full Name | Coles County Mental Health Association, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 Broadway Ave E, Mattoon, Illinois |
| Authorized Official Name and Position | Joseph King (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2172385700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coles County Mental Health Association, Inc. 750 Broadway Ave E Mattoon IL 61938-4610 Ph: (217) 238-5700 | Coles County Mental Health Association, Inc. 750 Broadway Ave E Mattoon IL 61938-4610 Ph: (217) 238-5700 |
| NPI Number | 1942203914 |
|---|---|
| Provider Enumeration Date | 05/24/2005 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 9537194329 |
|---|---|
| Medicare Enrollment ID | O20070516000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942203914 | NPI | - | NPPES |
| Provider Name | August G Supan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598851040 PECOS PAC ID: 5395910731 Enrollment ID: I20111213000495 |
| Provider Name | Christine Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487792636 PECOS PAC ID: 9739522095 Enrollment ID: I20240205000380 |
| Provider Name | Barbara E Estes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073625042 PECOS PAC ID: 6709220619 Enrollment ID: I20240220000737 |
| Provider Name | Amy Nicole Evermon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962488783 PECOS PAC ID: 0244676815 Enrollment ID: I20240306002262 |
| Provider Name | Amanda Stout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477097210 PECOS PAC ID: 8527417302 Enrollment ID: I20240520001130 |
| Provider Name | Tonya Franklin Ozier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871098905 PECOS PAC ID: 5395280622 Enrollment ID: I20240711001043 |
| Provider Name | Sarah Joy Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740709294 PECOS PAC ID: 7810425071 Enrollment ID: I20250115002984 |
Southern Illinois Healthcare Foundation, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 911 Remington Rd Ste B, Mattoon, IL 61938 Phone: 217-234-3091 Fax: 217-234-3094 | |
Mdt Holistic Healing And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2317 Western Ave, Mattoon, IL 61938 Phone: 217-348-5377 | |
Coles County Mental Health Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Richmond Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Honeycomb Healing Arts, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3230 Lake Rd, Mattoon, IL 61938 Phone: 217-358-0697 | |
Coles County Mental Health Association Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Sarah Bush Lincoln Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525 | |
Coles County Mental Health Association Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 |