OrganizationActive
West Lake Residential - Building 220
NPI 1104071125 · Mental Illness Community Based Residential Treatment Facility · Springfield, IL
Provider details
- NPI number
- 1104071125
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Mental Health Centers of Central Illinois
- Organization subpart
- Yes
- Authorized official
- Ann Bowling, Director(217) 588-2626
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 W Lake Dr
Building 220
Springfield, IL 62703-4956
Phone: (217) 588-7934
Fax: (217) 529-9803
Approximate (ZIP-level) locationGet directions
Mailing address
200 W Lake Dr Bldg 220
Springfield, IL 62703-4956
Registry dates
- Enumerated
- 2008-11-18
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.