| Memorial Behavioral Health | |
|
710 N 8th St Springfield IL 62702 | |
| (217) 525-1064 | |
| (217) 525-1651 |
| Full Name | Memorial Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 N 8th St, Springfield, Illinois |
| Authorized Official Name and Position | Ann Bowling (DIRECTOR) |
| Authorized Official Contact | 2175882626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Behavioral Health 710 N 8th St Springfield IL 62702-6324 Ph: (217) 525-1064 | Memorial Behavioral Health 710 N 8th St Springfield IL 62702 Ph: (217) 525-1064 |
| NPI Number | 1225008113 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 8325940521 |
|---|---|
| Medicare Enrollment ID | O20040127000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225008113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amber D Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659609055 PECOS PAC ID: 4082651534 Enrollment ID: I20050415000254 |
| Provider Name | Sondra L Wise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417047168 PECOS PAC ID: 9335201169 Enrollment ID: I20090102000332 |
| Provider Name | Brad S Hughes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205949260 PECOS PAC ID: 8123157914 Enrollment ID: I20100604000187 |
| Provider Name | Jesse Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891282760 PECOS PAC ID: 4880949197 Enrollment ID: I20180608001477 |
| Provider Name | Rebecca A. Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265491468 PECOS PAC ID: 0244573434 Enrollment ID: I20190509001217 |
| Provider Name | Leanna G Duemler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427566512 PECOS PAC ID: 5193123990 Enrollment ID: I20211008000965 |
| Provider Name | Elizabeth S Carriker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366195331 PECOS PAC ID: 9436542743 Enrollment ID: I20220209002343 |
| Provider Name | Kara L Kroculick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861099582 PECOS PAC ID: 3274929526 Enrollment ID: I20220413001522 |
| Provider Name | Rachel M Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619690997 PECOS PAC ID: 4385012350 Enrollment ID: I20221122002687 |
| Provider Name | Jennifer K Coley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740973239 PECOS PAC ID: 3779944947 Enrollment ID: I20230803003545 |
| Provider Name | Cassandra L Eilers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679226930 PECOS PAC ID: 3173979747 Enrollment ID: I20231102002103 |
| Provider Name | Kenneth Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881091841 PECOS PAC ID: 0042660383 Enrollment ID: I20231228001325 |
| Provider Name | Leaha K Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861031163 PECOS PAC ID: 9133579410 Enrollment ID: I20231228002944 |
| Provider Name | Cheyenne J Snodgrass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801523477 PECOS PAC ID: 7618327933 Enrollment ID: I20231229000060 |
| Provider Name | Dorothy B Rhodes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316906209 PECOS PAC ID: 7113377433 Enrollment ID: I20231229000210 |
| Provider Name | Alicia C Urven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982211967 PECOS PAC ID: 6305296500 Enrollment ID: I20240101000272 |
| Provider Name | Daniel S Waters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699435438 PECOS PAC ID: 6103277017 Enrollment ID: I20240104002904 |
| Provider Name | Linda A Nowack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922308956 PECOS PAC ID: 7113378035 Enrollment ID: I20240104003171 |
| Provider Name | Bronwyn E Rains |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508005125 PECOS PAC ID: 6608227400 Enrollment ID: I20240105001741 |
| Provider Name | Kelcy S Short |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346488319 PECOS PAC ID: 4385096437 Enrollment ID: I20240115000596 |
| Provider Name | Gregory Scott Viniard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720280480 PECOS PAC ID: 6709962376 Enrollment ID: I20240115001127 |
| Provider Name | Kari Ann Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407000649 PECOS PAC ID: 6103278973 Enrollment ID: I20240117001870 |
| Provider Name | Christy M Rutherford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053048207 PECOS PAC ID: 2769834571 Enrollment ID: I20240117002863 |
| Provider Name | Alishia Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932606225 PECOS PAC ID: 5698118941 Enrollment ID: I20240205000163 |
| Provider Name | Jonathan Dean Ponser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003045337 PECOS PAC ID: 3072956200 Enrollment ID: I20240205003224 |
| Provider Name | Tisha M Bayless |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568901783 PECOS PAC ID: 2961845011 Enrollment ID: I20240206003017 |
| Provider Name | Olivia Valdez-massena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184052201 PECOS PAC ID: 5193168169 Enrollment ID: I20240206004413 |
| Provider Name | Bridget S Palmatier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144710286 PECOS PAC ID: 8820431539 Enrollment ID: I20240209002175 |
| Provider Name | Sarah Ashley Diane Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558066738 PECOS PAC ID: 0941643415 Enrollment ID: I20240212003197 |
| Provider Name | Patricia A Fehr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689813206 PECOS PAC ID: 4284078627 Enrollment ID: I20240214000443 |
| Provider Name | Kathryn Annette Burnett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609154590 PECOS PAC ID: 9830533132 Enrollment ID: I20240214002999 |
| Provider Name | Roxanne M Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689349409 PECOS PAC ID: 7719322106 Enrollment ID: I20240226000395 |
| Provider Name | Elizabeth N Roth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386414571 PECOS PAC ID: 5395187264 Enrollment ID: I20240523000713 |
| Provider Name | Tiisha S Dickerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740923267 PECOS PAC ID: 0042652935 Enrollment ID: I20240523001420 |
Gray Therapy Group, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste N, Springfield, IL 62704 Phone: 847-834-9189 | |
Comprehensive Psychological & Health Association Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste R, Springfield, IL 62704 Phone: 954-686-2020 | |
Lighthouse Counseling Solutions, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste 8089, Springfield, IL 62704 Phone: 847-316-0325 | |
Mizani Therapeutic Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd # 5051, Springfield, IL 62704 Phone: 773-916-6513 | |
Behavior On Demand Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste R, Springfield, IL 62704 Phone: 312-868-1404 | |
Better Perspective Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste R, Springfield, IL 62704 Phone: 708-220-5310 | |
Rooted Life Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chatham Rd Ste 5038, Springfield, IL 62704 Phone: 815-435-0932 |