ASHLEY DAWN AMBURN (NPI# 1043672512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043672512 |
| Entity Type | Individual |
| Full Name | ASHLEY DAWN AMBURN |
| Credential | LCPC |
| Practice Address |
938 Evan Dr O Fallon IL 62269-3471 |
| Practice Telephone | 6185319637 |
| Mailing Telephone | 6185319637 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 180.010153 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
180.010153 | IL | Behavioral Health & Social Service Providers |
| Street Address |
938 EVAN DR |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628163 | Amy Adelsberger Bareiter | Counselor | 1253 Ruppel Ln, O Fallon, IL 62269-7163 | 2020-04-17 |
| 1407345192 | Dominique Marie Wilson | Counselor | 785 Wall St # 200, O Fallon, IL 62269-1959 | 2018-05-08 |
| 1255856282 | Leslie Davis | Counselor | 7 Eagle Ctr Ste B1, O Fallon, IL 62269-1946 | 2017-08-10 |
| 1164892253 | Geries Shaheen | Counselor | 6730 Hickory Tree Ln, O Fallon, MO 63368-8184 | 2015-10-01 |
| 1720268782 | Carrie L Ryberg | Counselor | 1670 Essex Way, Suite A103, O Fallon, IL 62269-3063 | 2007-11-07 |
| 1073153698 | Zane Alan Maus | Counselor | 311 S Main St Ste 100, O Fallon, MO 63366-2807 | 2020-01-11 |
| 1003455270 | Amber Holt | Counselor | 1001 Boardwalk Springs Pl Ste 111, O Fallon, MO 63368-4777 | 2020-01-05 |
| 1770125650 | Amber Bill | Counselor | 1137 N Main St Ste 2, O Fallon, MO 63366-1498 | 2019-10-12 |
| 1013478007 | Amanda L Reed | Counselor | 1137 N Main St, O Fallon, MO 63366-1498 | 2019-03-31 |
| 1437626074 | Michael Stier Therapy LLC | Counselor | 785 Wall St Ste 200, O Fallon, IL 62269-1959 | 2018-11-01 |
| Find all providers in O FALLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.