TERESA EBLIN (NPI# 1073139929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073139929 |
| Entity Type | Individual |
| Full Name | TERESA EBLIN |
| Practice Address |
403 Municipal Dr Carterville IL 62918-2042 |
| Mailing Address |
902 W Main St West Frankfort IL 62896-2210 |
| Practice Telephone | 6183196069 |
| Mailing Telephone | 6183196069 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL2970 | 05 |
| Street Address |
403 MUNICIPAL DR |
| City | CARTERVILLE |
| State | IL |
| Zip Code | 62918-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316284516 | Centerstone of Illinois, Inc | Community/Behavioral Health | 403 Municipal Dr, Carterville, IL 62918-2042 | 2013-01-08 |
| 1861006017 | Robert Anderson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-09-04 |
| 1851905061 | Daniele Laplant | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-09-04 |
| 1366052466 | Alyssa Anderson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-08-04 |
| 1386254506 | Darneshia Coleman | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-08-03 |
| 1972111680 | Lindsey Nagel | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-07-20 |
| 1205444338 | Sierra Lee | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-07-15 |
| 1821625641 | Jennifer Dorton | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-23 |
| 1790311538 | Savanah King | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-12 |
| 1083249635 | Preston Simpson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
| 1457879330 | Alex M Witcher | Registered Nurse | 307 Pennsylvania Ave, Carterville, IL 62918 | 2017-08-31 |
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
| 1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
| 1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
| 1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
| 1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| 1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
| Find all providers in zip 62918 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006017 | Robert Anderson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-09-04 |
| 1851905061 | Daniele Laplant | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-09-04 |
| 1366052466 | Alyssa Anderson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-08-04 |
| 1386254506 | Darneshia Coleman | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-08-03 |
| 1972111680 | Lindsey Nagel | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-07-20 |
| 1205444338 | Sierra Lee | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-07-15 |
| 1821625641 | Jennifer Dorton | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-23 |
| 1790311538 | Savanah King | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-12 |
| 1083249635 | Preston Simpson | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-04 |
| 1699309310 | Sara Trover | Counselor | 403 Municipal Dr, Carterville, IL 62918-2042 | 2020-03-03 |
| Find all providers in CARTERVILLE | ||||
| City | CARTERVILLE |
| Zip Code | 62918 |
Please comment or provide details below to improve the information on TERESA EBLIN.
| 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.