RENAE ROBERTSON (NPI# 1306349329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306349329 |
| Entity Type | Individual |
| Full Name | RENAE ROBERTSON |
| Credential | BS |
| Practice Address |
407 N Basin Rd Fairfield IL 62837-9639 |
| Mailing Address |
Po Box M Olney IL 62450-0913 |
| Practice Telephone | 6188422125 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 20150720346262 | 05 |
| Street Address |
407 N BASIN RD |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-9639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952589830 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2008-02-04 |
| 1750909628 | Brian Frank Vahl | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2020-07-08 |
| 1376003202 | Rosella Leeann Book | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2019-03-25 |
| 1699242131 | Egyptian Health Department | Community/Behavioral Health | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2018-11-01 |
| 1689141145 | Egyptian Health Department | Community/Behavioral Health | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2018-11-01 |
| 1235598855 | Shari Winter | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2016-02-11 |
| 1780053348 | Makenzie Baker X | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2015-09-24 |
| 1881006369 | Allissa Keoughan | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2014-06-02 |
| 1033496260 | Jeneva Carron | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2011-11-16 |
| 1013186568 | S E Illinois Counseling Ctrs | Community/Behavioral Health | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2008-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273781 | Hope Counseling, LLC | Counselor | 87 Ruane St, Fairfield, CT 06824-5864 | 2019-09-05 |
| 1376190504 | Megan Jane Earp | Counselor | 500 N 3rd St Ste 209, Fairfield, IA 52556-2483 | 2019-08-22 |
| 1083272561 | Keturah Walker | Counselor | 5098 Rowe Dr, Fairfield, CA 94533-6590 | 2019-05-30 |
| 1093278525 | Rhonda M Bogenschutz | Counselor | 311 Nilles Rd Ste A, Fairfield, OH 45014-2621 | 2019-04-11 |
| 1023501525 | Isaac Higgins | Counselor | 1234 Empire St # 1500, Fairfield, CA 94533-5711 | 2018-06-08 |
| 1851899348 | Caitlin Asels | Counselor | 1234 Empire St # 2130, Fairfield, CA 94533-5711 | 2018-01-30 |
| 1700314606 | Fairfield County Counseling | Counselor | 60 Katona Dr Ste 22, Fairfield, CT 06824-3544 | 2017-05-23 |
| 1285181552 | Anthony Tucci | Counselor | 2209 Concord Ct, Fairfield, CA 94533-5858 | 2016-09-05 |
| 1003274515 | Susan Myunghee Choi | Counselor | 470 Chadbourne Rd. Suite E, Aldea Children & Family Services, Fairfield, CA 94534-9600 | 2016-01-29 |
| 1588032239 | Whitney Ann Walker | Counselor | 2100 W Texas St, Fairfield, CA 94533-4468 | 2015-09-11 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on RENAE ROBERTSON.
| 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.