Unknown Individual – Mental Health Counselor, NPI 1417971680
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5004, Eagle Ridge Drive, Panther Creek, Springfield, Sangamon County, Illinois, 62711, United States
SPRINGFIELD, IL 627117830
Phone: (217) 415-2978
Fax: (217) 726-5373
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)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62711)
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