BETHANIE J DRAKE


Address: 1020 S 5th St, Springfield, IL 62703
Phone: 2175443143

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist IL Behavioral Health & Social Service Providers

Office Location

Street Address 1020 S 5TH ST
City SPRINGFIELD
State IL
Zip Code 62703

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City SPRINGFIELD
Zip Code 62703

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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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