HUMAN SUPPORT SERVICES NPI 1245795251

NPI Information

NPI: 1245795251
Provider Name: HUMAN SUPPORT SERVICES
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
CLIA Number: 14D2091056
Address: 960 COLUMBIA CTR
COLUMBIA, IL
ZIP 62236
Phone: (618) 939-4444

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NPI Details

HUMAN SUPPORT SERVICES is a mental health (including community mental health center) clinic center in Columbia, IL. HUMAN SUPPORT SERVICES NPI is 1245795251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

960 COLUMBIA CTR
COLUMBIA, IL
ZIP 62236-545
Phone: (618) 939-4444
Fax: (618) 939-4181

The provider's authorized official is Melissa Jones .
The authorized official title is Business Manager and has the following contact phone number (618) 939-4444.

The CLIA number assigned to this NPI record is 14D2091056 - other - dasa (dmh) licensed fclty with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2019 and was last updated on 2/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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