JAMES BRIAN VERGES (NPI# 1073888624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073888624 |
Entity Type | Individual |
Full Name | JAMES BRIAN VERGES |
Credential | CADC |
Practice Address |
16338 N. Illinois Hwy 37 Mount Vernon IL 62864 |
Practice Telephone | 6182421546 |
Practice Fax Number | 6182420957 |
Mailing Telephone | 6182421546 |
Mailing Fax Number | 6182420957 |
Enumeration Date | 2012-03-15 |
Last Update Date | 2012-03-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1447 | IL | Behavioral Health & Social Service Providers |
Street Address |
16338 N. ILLINOIS HWY 37 |
City | MOUNT VERNON |
State | IL |
Zip Code | 62864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
1447561378 | Spero Family Services | Foster Care Agency | 201 North 27th Street, Mount Vernon, IL 62864 | 2010-06-25 |
Find all providers in zip 62864 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295210607 | Lindsay Susan Smith | Counselor | 401 W High St, Mount Vernon, OH 43050-2324 | 2018-10-02 |
1962932640 | Megan J Pickard | Counselor | 1601 E College Way # 1, Mount Vernon, WA 98273-5612 | 2017-06-15 |
1659611051 | Richard Rudolph Jones | Counselor | 110 No. 10th. Ave. Apt.#7x, Mount Vernon, NY 10551 | 2013-02-21 |
1144569948 | Paulette Erin Nathan | Counselor | 332 Hayward Ave, Mount Vernon, NY 10552-1607 | 2013-02-14 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1831464346 | Tyler John Hitzfield | Counselor | 120 S Norton St, Mount Vernon, OH 43050-2313 | 2012-03-16 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1275835373 | Ronald M. Carlos | Counselor | 30 Fleetwood Ave, #1-g, Mount Vernon, NY 10552-2865 | 2010-11-22 |
1013234673 | Bobbi Jo Milbrandt | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2010-04-22 |
1568785236 | Kyle Kershner | Counselor | 111 A South Mulberry St, Mount Vernon, OH 43050 | 2010-03-09 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 62864 |
Please comment or provide details below to improve the information on JAMES BRIAN VERGES.
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.