VICTORIA OUTERBRIDGE


Address: 1813 W Kirby Ave, Champaign, IL 61821-5410
Phone: 2173831850

VICTORIA OUTERBRIDGE (NPI# 1669682878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669682878
Entity Type Individual
Full Name VICTORIA OUTERBRIDGE
Credential L.C.P.C.
Practice Address 1813 W Kirby Ave
Champaign
IL 61821-5410
Mailing Address 611 W Park St
Bwpc
Urbana
IL 61801-2529
Practice Telephone 2173831850
Practice Fax Number 2173833439
Mailing Telephone 2173836792
Mailing Fax Number 2173834752
Enumeration Date 2007-05-23
Last Update Date 2014-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180004385 IL Behavioral Health & Social Service Providers

Office Location

Street Address 1813 W KIRBY AVE
City CHAMPAIGN
State IL
Zip Code 61821-5410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891780615 The Carle Foundation Hospital Home Health 1813 W Kirby Ave, Champaign, IL 61821-5410 2005-09-19
1790211589 Jennifer Laprise Psychiatry & Neurology 1813 W Kirby Ave, Carle Champaign On Kirby - Psychiatry, Champaign, IL 61821-5410 2017-05-11
1932635372 Bienvenu Songo Nzinga Student in an Organized Health Care Education/Training Program 1813 W Kirby Ave, Champaign, IL 61821-5410 2017-05-04
1790144350 Judy Webber Dietitian, Registered 1813 W Kirby Ave, Ste 120, Champaign, IL 61821-5410 2016-02-11
1689018624 Muge Dizen Psychologist 1813 W Kirby Ave, Champaign, IL 61821-5410 2013-04-22
1114240876 Carle Health Care Incorporated Durable Medical Equipment & Medical Supplies 1813 W Kirby Ave, Champaign, IL 61821-5410 2010-03-10
1497081145 Margaret J Johnson Counselor 1813 W Kirby Ave, Ste. 120, Champaign, IL 61821-5410 2009-10-29
1689804981 Mehwish Khan Internal Medicine 1813 W Kirby Ave, Ste 120, Champaign, IL 61821-5410 2009-07-21
1205065034 Maryjean Mccallister Dietitian, Registered 1813 W Kirby Ave, Champaign, IL 61821-5410 2009-07-14
1124280409 Owaise Mansuri Internal Medicine 1813 W Kirby Ave, Champaign, IL 61821-5410 2008-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326532888 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 1303 N. Cunningham Avenue, Urbana, IL 61821 2018-06-19
1184008708 Seunghyun Jae Dentist 1905 W Springfield Ave, Champaign, IL 61821 2015-07-14
1457698169 Mohamad Ata Registered Nurse 1802 S. Mattis, Champaign, IL 61821 2013-01-15
1609124338 Lolitia Rosanna Newman Social Worker 1508 Powers Ln., Champaign, IL 61821 2012-08-28
1679850887 Kirk Donald Gohsman Counselor 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 2011-11-16
1598054777 Delbert William Nelson Jr. Psychiatry & Neurology 2115 Galen Dr, Champaign, IL 61821 2011-03-28
1790946929 Rdi Vein LLC Clinic/Center 2502 Galen Drive, Suite 101, Champaign, IL 61821 2008-06-20
1366620064 Advanced Aesthetics Surgery & Laser Center, P.C. Clinic/Center 2111 West Park Ct., Champaign, IL 61821 2008-02-05
1033398482 Huey's Home Medical, Inc Durable Medical Equipment & Medical Supplies 1207 S Mattis Ave Ste 1, Champaign, IL 61821 2007-11-01
1265630537 Elizabeth Catherine Tingley Psychologist Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 2007-07-06
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932712890 Sophia Dixon Counselor 313 N Mattis Ave Ste 116, Champaign, IL 61821-7900 2020-08-28
1720607872 Joyce Bechtel Counselor 100 N Chestnut St Ste 225, Champaign, IL 61820-3329 2020-04-09
1356975643 Jamie Sue Stevens Counselor 201 W Springfield Ave Ste 208, Champaign, IL 61820-4875 2020-02-26
1639716624 Melanie L. Bailey Counselor 701 Devonshire Dr Ste B16-b18, Champaign, IL 61820-7337 2019-12-09
1659932663 George W. Cook Professional Corporation Counselor 1002 Mayfair Rd, Champaign, IL 61821-4435 2019-06-21
1891352142 Staci Poe Counseling Services Counselor 53 E Bradley Ave, Champaign, IL 61820-2741 2019-05-22
1861968240 Imani Taliah Harrison Counselor 701 Devonshire Dr Ste C53, Champaign, IL 61820-7361 2018-10-23
1790265825 Anna Farris Counselor 201 W Springfield Ave Ste 1005, Champaign, IL 61820-4968 2018-08-17
1437635752 Sheldon Gerrard Aaron Counselor 201 W Springfield Ave Ste 1201, Champaign, IL 61820-6385 2018-07-19
1114418456 Rebecca Pauline Harrison Counselor 201 W Springfield Ave Ste 1006, Champaign, IL 61820-6379 2018-05-22
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Competitor

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City CHAMPAIGN
Zip Code 61821

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Dataset Information

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.

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