MEDICARE: MENTAL HEALTH CENTERS OF WESTERN ILLINOIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1831831098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH CENTERS OF WESTERN ILLINOIS

Provider Business Mailing Address
First Line	:	700 SE CROSS ST
Second Line	:
City	:	MT STERLING
State	:	IL
Zip	:	62353-1561
Country	:	US
Telephone Number	:	217-773-3325
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 W WASHINGTON ST
Second Line	:
City	:	PITTSFIELD
State	:	IL
Zip	:	62363-1655
Country	:	US
Telephone Number	:	217-773-3325
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KATIE WILSON
Credential	:	LCPC
Telephone Number	:	217-773-3325

Provider Enumeration Date	:	04/08/2022
Last Update Date	:	05/07/2026

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