COUNTY OF JASPER – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1073782579

COUNTY OF JASPER is a healthcare provider. based in Newton, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The organization holds a License No. 04082 (IL). The NPI Number for COUNTY OF JASPER is 1073782579

Main info

Organization
Name
COUNTY OF JASPER
NPI
1073782579
Phone
(618) 783-4154
Address
106 EAST EDWARDS
Authorized Official
MS. DEBORAH K CLARK ADMINISTRATOR BS
Enumeration Date
28 February 2008
Last Update Date
3 March 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for COUNTY OF JASPER

  • 106, Edwards Street, Newton, Jasper County, Illinois, 62448, United States

    NEWTON, IL 624481736

    Phone: (618) 783-4154

    Fax: (618) 783-2339

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (832 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070601000074OClinic/Group PracticeIL2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62448)

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Reviews

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Frequently asked questions

What NPI should I save for COUNTY OF JASPER?
Save NPI 1073782579 if you need a stable reference for COUNTY OF JASPER.
Does this profile mean COUNTY OF JASPER is currently active?
Yes — COUNTY OF JASPER appears active in the national provider directory.
What field does COUNTY OF JASPER work in?
You can think of COUNTY OF JASPER as practicing within Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Where does public data place COUNTY OF JASPER?
The snapshot lists Newton, Illinois for COUNTY OF JASPER; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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