MR. TONY YUNG KIRKMAN (NPI# 1104198621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104198621 |
| Entity Type | Individual |
| Full Name | MR. TONY YUNG KIRKMAN |
| Credential | LCPC |
| Practice Address |
204 N Main St Suite 203 Saint Joseph IL 61873-9355 |
| Mailing Address |
785 Jacobs Way Forsyth IL 62535-8903 |
| Practice Telephone | 2174697566 |
| Practice Fax Number | 2174692568 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180006897 | IL | Behavioral Health & Social Service Providers |
| Street Address |
204 N MAIN ST SUITE 203 |
| City | SAINT JOSEPH |
| State | IL |
| Zip Code | 61873-9355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376635078 | Illini Christian Ministries Inc | Psychologist | 204 N Main St, Suite 203, Saint Joseph, IL 61873 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497175442 | Athletico Ltd | Physical Therapist | 109 N. Main Street, Saint Joseph, IL 61873 | 2014-04-17 |
| 1225182702 | Alina Paul | Family Medicine | 226 E Lincoln, St Joseph, IL 61873 | 2007-01-22 |
| 1750484036 | Edmund R. Rudnicke II, Prof Corp | Dentist | 302 E Lincoln, St Joseph, IL 61873 | 2006-09-05 |
| 1679676951 | Edmund Robert Rudnicke II | Dentist | 302 E Lincoln St, Saint Joseph, IL 61873 | 2006-09-05 |
| 1265618615 | Jmp Counseling and Tutoring Services, LLC | Counselor | 109 N. Main St., St. Joseph, IL 61873 | 2008-01-16 |
| 1942323282 | Bryan Myles Manion | Counselor | 109 N Main St, St Joseph, IL 61873 | 2007-04-10 |
| 1558335703 | Troy Dean Branson | Chiropractor | 109 N Main, St Joseph, IL 61873-0028 | 2006-02-15 |
| 1417950387 | St. Joseph Drugs, Inc. | Pharmacist | 204 N. Main St., Saint Joseph, IL 61873-0500 | 2005-05-24 |
| 1285668830 | St. Joseph Drugs, Inc | Pharmacy | 204 N. Main, St. Joseph, IL 61873-0500 | 2006-07-10 |
| 1780868711 | Chi Kim Le | Dentist | 302 E Lincoln, St Joseph, IL 61873-0678 | 2007-12-27 |
| Find all providers in zip 61873 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364715 | Danyell Brown | Counselor | 501 S 36th St Ste 102, Saint Joseph, MO 64506-3067 | 2020-07-23 |
| 1669940433 | Care Mgt Solutions Services LLC | Counselor | 1334 S Manor Dr., Saint Joseph, MI 49085-3114 | 2018-11-08 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1467960922 | Jeremy Michael Malzon | Counselor | 1901 Niles Ave Ste 102, Saint Joseph, MI 49085-1615 | 2018-01-18 |
| 1194230003 | Cheryl Lynn Uldrich | Counselor | 3312 E Colony Sq, Saint Joseph, MO 64506-1505 | 2017-12-14 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1104346055 | Felicia D. Flowers | Counselor | 1334 S. Manor Dr., Saint Joseph, MI 49085 | 2017-06-21 |
| 1053862060 | Living Well Concepts | Counselor | 3801 Oakland Ave, Suite 110, Saint Joseph, MO 64506-3622 | 2016-10-14 |
| 1306270186 | Jackie Dorothea Moser | Counselor | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507-2098 | 2013-08-28 |
| 1477990174 | Bright Hope Counseling Center, Pllc | Counselor | 1101 Broad St Ste 8, Saint Joseph, MI 49085-2198 | 2013-06-04 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 61873 |
Please comment or provide details below to improve the information on MR. TONY YUNG KIRKMAN.
| 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.