Mended Hearts Stable
NPI 1922283464ActiveOrganization· Clinic/Center, Adolescent and Children Mental Health· Metamora, IL
Clinic/Center, Adolescent and Children Mental Health in Metamora, Illinois, registered in NPPES in January 2008. The authorized official on file is Julie Elise Sellner, LCPC, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922283464 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2008 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Adolescent and Children Mental Health Primary | 261QM0855X | — | — |
| Community/Behavioral Health | 251S00000X | 180005723 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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