MRS. BONNIE B ROUTH (NPI# 1114077575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114077575 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE B ROUTH |
| Credential | LPCA |
| Practice Address |
Rr 3 Box 414 Lawrenceville IL 62439-9499 |
| Practice Telephone | 6189433754 |
| Practice Fax Number | 6189435766 |
| Mailing Telephone | 6189433754 |
| Mailing Fax Number | 6189435766 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.007390 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 376006178008 | 05 |
| Street Address |
RR 3 BOX 414 |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-9499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427132232 | County of Lawrence Health Department | Public Health or Welfare | Rr 3 Box 414, Lawrenceville, IL 62439-9499 | 2006-10-25 |
| 1881821478 | Julia Kathryn Petty | Counselor | Rr 3 Box 414, Lawrenceville, IL 62439 | 2009-06-22 |
| 1457573354 | Valerie Burns | Family Medicine | Rr 3 Box 414, Lawrenceville, IL 62439-9499 | 2007-05-02 |
| 1134349202 | Lawrence County Health Department | Public Health or Welfare | Rr 3 Box 414, Lawrenceville, IL 62439-9499 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868755 | Tiffany Lynn Brown | Counselor | 534 Windsor Ct, Lawrenceville, GA 30046-6066 | 2020-10-12 |
| 1154945772 | Breanna K. Savage | Counselor | 1520 Cedars Rd, Lawrenceville, GA 30045-5133 | 2020-05-29 |
| 1194345553 | Cherrice Lachall Smith | Counselor | 1669 Elyse Springs Dr, Lawrenceville, GA 30045-4406 | 2020-04-25 |
| 1447870167 | Natasha M Patterson | Counselor | 1017 Quiet Waters Ln, Lawrenceville, GA 30045-7069 | 2020-04-22 |
| 1770112146 | Heart To Heart Counseling Services LLC | Counselor | 1585 Old Norcross Rd Ste 201e, Lawrenceville, GA 30046-4043 | 2020-04-07 |
| 1265060370 | Latoya Nichole Polk | Counselor | 867 Buie Way, Lawrenceville, GA 30045-7191 | 2020-04-01 |
| 1801426697 | Arthur Howard | Counselor | 3100 Princeton Pike Ste 1, Lawrenceville, NJ 08648-2300 | 2020-01-21 |
| 1558821900 | Anethia Schwann Powell | Counselor | 4850 Sugarloaf Pkwy Ste 209-345, Lawrenceville, GA 30044-2859 | 2019-03-21 |
| 1649741174 | Good Life Counseling and Consulting | Counselor | 1585 Old Norcross Rd Ste 204d, Lawrenceville, GA 30046-4043 | 2018-12-10 |
| 1336619691 | Marshalee Jackson | Counselor | 1585 Old Norcross Rd Ste 204b, Lawrenceville, GA 30046-4043 | 2018-11-29 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
Please comment or provide details below to improve the information on MRS. BONNIE B ROUTH.
| 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.