AVARIE TRENT (NPI# 1255975298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255975298 |
| Entity Type | Individual |
| Full Name | AVARIE TRENT |
| Practice Address |
88 S Main St Ste 2 Glen Carbon IL 62034-1415 |
| Mailing Address |
Po Box 639 Glen Carbon IL 62034-0639 |
| Practice Telephone | 6182888085 |
| Practice Fax Number | 6182888959 |
| Mailing Telephone | 6182888085 |
| Mailing Fax Number | 6182888959 |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2019-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
000000 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1942279435 | 05 |
| Street Address |
88 S MAIN ST STE 2 |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083914089 | Michelle Ann Kingston | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2010-10-25 |
| 1093328841 | Jillian Mccammack | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-08-30 |
| 1104435494 | Mackenzie Harrison | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-07-23 |
| 1366065054 | Michael Lee | Psychologist | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-05-28 |
| 1144850298 | Samantha Rowe | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-01-16 |
| 1154965127 | Cecily Heusner | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-11-03 |
| 1881238822 | Quinisa Grant | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-11-02 |
| 1841834157 | Molly Kamys | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-10-30 |
| 1093359390 | Sherry Mccrady | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-10-30 |
| 1083258479 | Christina Stevens | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850298 | Samantha Rowe | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2020-01-16 |
| 1841834157 | Molly Kamys | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-10-30 |
| 1083258479 | Christina Stevens | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-10-29 |
| 1871145649 | Haron Denton | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2019-07-11 |
| 1750852091 | Kenneth Wesemann | Counselor | 88 S Main St Ste 2, Glen Carbon, IL 62034-1415 | 2018-12-16 |
| 1104391416 | Sarah Goshorn | Counselor | 88 S Main St, Glen Carbon, IL 62034-1415 | 2018-10-12 |
| 1598230906 | Patricia Bortko | Counselor | 88 S Main St, Glen Carbon, IL 62034-1415 | 2018-10-11 |
| 1093993925 | Jean Mcgurk O'brien | Counselor | 9 Junction Drive West, Suite 2, Glen Carbon, IL 62034 | 2008-02-01 |
| 1538287271 | Donya Adkerson | Counselor | 88 S Main St, Glen Carbon, IL 62034-1415 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
Please comment or provide details below to improve the information on AVARIE TRENT.
| 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.