MR. GREGORY KIRBY INGRAHAM


Address: 1150 Route 54 W, Clinton, IL 61727-2148
Phone: 2179359496

MR. GREGORY KIRBY INGRAHAM (NPI# 1871780700) 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) 1871780700
Entity Type Individual
Full Name MR. GREGORY KIRBY INGRAHAM
Credential MSW, LCSW
Practice Address 1150 Route 54 W
Clinton
IL 61727-2148
Mailing Address Po Box 616
Clinton
IL 61727-0616
Practice Telephone 2179359496
Practice Fax Number 2179354508
Mailing Telephone 2179352788
Mailing Fax Number 2179354508
Enumeration Date 2007-09-25
Last Update Date 2007-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
IL Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
IL Behavioral Health & Social Service Providers

Office Location

Street Address 1150 ROUTE 54 W
City CLINTON
State IL
Zip Code 61727-2148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891981460 Erin Lee White-fish Counselor 1150 Route 54 W, Clinton, IL 61727-2148 2007-09-18
1215160049 Dewitt County Human Resource Center Clinic/Center 1150 Route 54 W, Clinton, IL 61727-2148 2009-08-27
1225266026 Courtney M Lee Student in an Organized Health Care Education/Training Program 1150 Route 54 W, Clinton, IL 61727-2148 2009-06-30
1497983290 Scott R Zaehler Student in an Organized Health Care Education/Training Program 1150 Route 54 W, Clinton, IL 61727-2148 2009-06-30
1578700886 Bruce C Butler Case Manager/Care Coordinator 1150 Route 54 W, Clinton, IL 61727-2148 2009-01-09
1598921611 Sara Jane Duffy Student in an Organized Health Care Education/Training Program 1150 Route 54 W, Clinton, IL 61727-2148 2008-07-29
1891975850 Kevin Edward Hegi Student in an Organized Health Care Education/Training Program 1150 Route 54 W, Clinton, IL 61727-2148 2007-11-07
1730378720 Katherine Ann Adler Student in an Organized Health Care Education/Training Program 1150 Route 54 W, Clinton, IL 61727-2148 2007-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144692393 Complete Wellness and Integrative Health Center Ltd General Practice 211 E Quincy St, Clinton, IL 61727 2015-10-28
1124247507 Clinton Unit School District 15 Local Education Agency (LEA) 1210 State Route 54 West, Clinton, IL 61727 2007-04-24
1578600615 Dewitt County Human Resource Center Clinic/Center 1150 Rt 54 West, Clinton, IL 61727 2007-01-30
1164569265 Kara Lynn Johnson Case Manager/Care Coordinator 1150 Route 54 West, Clinton, IL 61727 2007-01-30
1659474328 Highland Park Cvs, L.L.C. Pharmacy 60 Clinton Plz Sc, Clinton, IL 61727 2006-09-07
1528095510 St. Joseph Medical Center Nurse Practitioner 1231 Kleeman Dr., Clinton, IL 61727 2006-06-27
1588652044 Residential Alternatives of Illinois Inc Skilled Nursing Facility 1 Park Lane West, Clinton, IL 61727 2005-10-10
1629218466 Olympian Surgical Suites LLC Clinic/Center 803 Illini Dr, Clinton, IL 61727 2009-03-05
1023238920 Sara Ann Holmes Case Manager/Care Coordinator 1150 Route 54 West, Clinton, IL 61727 2007-04-26
1740327881 Cory William Baxter Counselor 1150 Route 54 West, Clinton, IL 61727 2007-01-30
Find all providers in zip 61727

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144832882 Lativia S Brown Counselor 9500 Baymar Ct, Clinton, MD 20735-3399 2020-08-22
1013570449 Jennifer Marie Bartkowiak Counselor 2 Williams St Ste 1, Clinton, NY 13323-1748 2019-04-22
1295290609 Alexis Marie Coleman Counselor 205 Shields St, Clinton, NC 28328-3241 2019-02-11
1225592140 India Alexis Kea Counselor 9015 Woodyard Rd Ste 210, Clinton, MD 20735-4209 2019-01-24
1477045995 Dynamic Psychological & Mediation Services Counselor 104 S 7th St, Clinton, OK 73601 2018-05-31
1831688233 Jed Black Counselor 1407 N 2000 W Ste J, Clinton, UT 84015-8563 2018-05-02
1093214116 Amy Elizabeth Glaser Counselor 40 Fairview Ave, Clinton, NJ 08809-1330 2018-02-04
1437662509 Nancy Anne Baumgartner Counselor 65 Old Highway 22 Ste 7b, Clinton, NJ 08809-1315 2017-11-13
1356868236 Gwendolyn Blake Counselor 65 Old Rt. 22, Suite 7b, Clinton, NJ 08809 2017-08-23
1497282743 Sharon Vessel Counselor 10105 Plank Road Suite A, Clinton, LA 70722 2017-05-17
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 61727

Improve Information

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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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