| Mt. Vernon Counseling Center, Inc. | |
|
114 Andrews Dr Fairfield IL 62837-2945 | |
| (312) 841-7674 | |
| (618) 270-0524 |
| Full Name | Mt. Vernon Counseling Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 114 Andrews Dr, Fairfield, Illinois |
| Authorized Official Name and Position | Jill L Barnfield (PRESIDENT) |
| Authorized Official Contact | 3128417674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Vernon Counseling Center, Inc. 114 Andrews Dr Fairfield IL 62837-2945 Ph: (312) 841-7674 | Mt. Vernon Counseling Center, Inc. 114 Andrews Dr Fairfield IL 62837-2945 Ph: (312) 841-7674 |
| NPI Number | 1558487090 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 09/25/2021 |
| Certification Date | 09/25/2021 |
| Medicare PECOS PAC ID | 7719054030 |
|---|---|
| Medicare Enrollment ID | O20080927000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558487090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jill L Barnfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467506329 PECOS PAC ID: 7810064136 Enrollment ID: I20080927000200 |
Wayne Family Counseling Ctr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-842-2125 Fax: 618-842-2126 | |
Egyptian Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-273-3326 Fax: 618-273-2808 | |
Egyptian Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-273-3326 Fax: 618-273-2808 | |
Fairfield Community Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1007 W Main St, Fairfield, IL 62837 Phone: 618-842-4470 Fax: 618-842-3437 | |
Wayne Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Basin Rd, Fairfield, IL 62837 Phone: 618-842-2125 Fax: 618-842-4154 | |
Irina Podolsky Psyd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1623 W Main St, Fairfield, IL 62837 Phone: 312-320-5137 |