BETHANIE J DRAKE (NPI# 1063400489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063400489 |
Entity Type | Individual |
Full Name | BETHANIE J DRAKE |
Credential | LMFT |
Practice Address |
1020 S 5th St Springfield IL 62703 |
Practice Telephone | 2175443143 |
Practice Fax Number | 2175444436 |
Mailing Telephone | 2175443143 |
Mailing Fax Number | 2175444436 |
Enumeration Date | 2005-10-10 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | IL | Behavioral Health & Social Service Providers |
Street Address |
1020 S 5TH ST |
City | SPRINGFIELD |
State | IL |
Zip Code | 62703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295723617 | Steven L Fritz | Psychologist | 1020 S 5th St, Springfield, IL 62703-2312 | 2005-10-10 |
1326466996 | Angela Frances Trowbridge | Social Worker | 1020 S 5th St, Springfield, IL 62703-2312 | 2014-04-01 |
1003247115 | Amanda B Henson | Social Worker | 1020 S 5th St, Springfield, IL 62703-2312 | 2013-11-29 |
1245492941 | Jennifer Hardwick | Psychiatry & Neurology | 1020 S 5th St, Springfield, IL 62703-2312 | 2008-06-25 |
1881852879 | Rachel Marie Harlan Link | Psychiatry & Neurology | 1020 S 5th St, Springfield, IL 62703-2312 | 2008-05-28 |
1609942929 | J. Graham Thompson | Marriage & Family Therapist | 1020 S 5th St, Springfield, IL 62703-2312 | 2006-11-28 |
1093703068 | Virginia L Thompson | Social Worker | 1020 S 5th St, Springfield, IL 62703-2312 | 2005-10-12 |
1558359828 | John Ewing Harris | Psychologist | 1020 S 5th St, Springfield, IL 62703-2312 | 2005-10-11 |
1487642708 | Killian and Associates Sc | Psychiatry & Neurology | 1020 S 5th St, Springfield, IL 62703-2312 | 2005-10-11 |
1376531707 | Patricia Jean Follin | Counselor | 1020 S 5th St, Springfield, IL 62703 | 2005-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
Find all providers in zip 62703 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376184820 | Kevin Polk | Marriage & Family Therapist | 350 Bourbon St, Springfield, IL 62707-2702 | 2019-10-07 |
1033655535 | Jeffrey Bentley | Marriage & Family Therapist | 61 Woodlawn St, Springfield, MA 01108-3064 | 2017-01-09 |
1366815722 | Megyn Wilson | Marriage & Family Therapist | 575 Shrine Rd, Springfield, OH 45504-3927 | 2015-11-06 |
1871928119 | David Brown | Marriage & Family Therapist | 1931 E Cherry St, Springfield, MO 65802 | 2013-09-05 |
1013126986 | Kristi Palmer Kaag | Marriage & Family Therapist | 1863 Pioneer Pkwy E, #304, Springfield, OR 97477-3907 | 2007-05-21 |
1457569832 | Leslie R Lovestead | Marriage & Family Therapist | 8510 Wild Spruce Dr, Springfield, VA 22153-1800 | 2007-05-18 |
1902995467 | Kristin N Ong I | Marriage & Family Therapist | 8000 Forbes Pl, Springfield, VA 22151-2200 | 2006-10-12 |
1316048499 | Judith Ellen Ruff | Marriage & Family Therapist | 120 South 11th St, Catholic Charities, Springfield, IL 62703 | 2006-09-25 |
1467559187 | Howard Daniel Cameron | Marriage & Family Therapist | 3023 S Fort Ave, Suite B, Springfield, MO 65807-4272 | 2006-09-17 |
1457457095 | Carrin Brandt | Marriage & Family Therapist | 7314 Beechwood Dr, Springfield, VA 22153-2336 | 2006-09-14 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62703 |
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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.