Mr Jeffery Alan Cripps, LCPC | |
5887 Winterset Dr, Carterville, IL 62918-3447 | |
(618) 579-6515 | |
Not Available |
Full Name | Mr Jeffery Alan Cripps |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5887 Winterset Dr, Carterville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427708114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180-001393 (Illinois) | Primary |
Entity Name | Integrated Health Of Southern Illinois Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
Mailing Address | Practice Location Address |
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Mr Jeffery Alan Cripps, LCPC 5887 Winterset Dr, Carterville, IL 62918-3447 Ph: (618) 579-6515 | Mr Jeffery Alan Cripps, LCPC 5887 Winterset Dr, Carterville, IL 62918-3447 Ph: (618) 579-6515 |
Ms. Lisa Marie Koegler, MS,LCPC Counselor Medicare: Medicare Enrolled Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Cheryl Muckley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3561 Fax: 618-956-9349 | |
Bridgett Holder, MSW, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 | |
Tamara Samples, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Erich Pilz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Marah Willmore, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Victoria Mayo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 |