MRS. BARB GRACE ELAM (NPI# 1447273412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447273412 |
| Entity Type | Individual |
| Full Name | MRS. BARB GRACE ELAM |
| Credential | LCPC |
| Practice Address |
139 Pine Shore Dr # 37 Carbondale IL 62902-7503 |
| Mailing Address |
139 Pine Shore Dr # 37 Carbondale IL 62902 |
| Practice Telephone | 6185293900 |
| Practice Fax Number | 6185290194 |
| Mailing Telephone | 6185293900 |
| Mailing Fax Number | 6185290194 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180001421 | IL | Behavioral Health & Social Service Providers |
| Street Address |
139 PINE SHORE DR # 37 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62902-7503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831112804 | David Allen Elam | Counselor | 139 Pine Shore Dr # 37, Carbondale, IL 62902-7503 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114200482 | Pamela K. Zeigler | Speech-Language Pathologist | 2880 Wolf Creek Road, Carbondale, IL 62902 | 2011-09-23 |
| 1043504541 | Melanie Wick Singer | Speech-Language Pathologist | 51 Carolyn Drive, #q, Carbondale, IL 62902 | 2011-06-02 |
| 1518286624 | Kaci Moeller | Physical Therapist | 2001e Creekwood, Carbondale, IL 62902 | 2010-05-28 |
| 1417173782 | Debra Lynn Braunling Mcmorrow | Psychologist | 306 W Mill Street, 2nd Floor, Carbondale, IL 62902 | 2007-04-17 |
| 1942352083 | Damaris Miltenberger Language & Learning Center, Ltd | Speech-Language Pathologist | 301 S. Wall St., Suite B, Carbondale, IL 62902 | 2007-01-17 |
| 1013288968 | Jenny Moss Occupational Therapy Services, Inc. | Early Intervention Provider Agency | 7207 Grassy Rd, Carbondale, IL 62902-0465 | 2012-01-24 |
| 1114482734 | Erin Anderson | Occupational Therapy Assistant | 2595 S Wolf Creek Rd, Carbondale, IL 62902-0572 | 2019-02-07 |
| 1679749576 | Gina M. Hill | Student in an Organized Health Care Education/Training Program | 4269 Lager Ln, Carbondale, IL 62902-0970 | 2008-05-01 |
| 1649712829 | Carolyn Fasnacht | Student in an Organized Health Care Education/Training Program | 2775 Skyhawk Rd, Carbondale, IL 62902-1008 | 2016-11-05 |
| 1235627654 | Brandy S Smith | Behavioral Analyst | 136 Premier Ln, Carbondale, IL 62902-4101 | 2018-05-01 |
| Find all providers in zip 62902 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847359 | Shariece Inez Hastings | Counselor | 904 E Cindy St, Carbondale, IL 62901-3318 | 2020-09-23 |
| 1780156547 | Kw Therapy, LLC | Counselor | 112 Blue Creek Overlook, Carbondale, CO 81623-7705 | 2018-12-18 |
| 1043696982 | Dominique Davis-warner | Counselor | 1337b Springer Ridge Rd, Carbondale, IL 62902-7902 | 2015-08-03 |
| 1407275589 | Eileen Gielow | Counselor | 9 Raccoon Ct, Carbondale, CO 81623-8756 | 2014-04-15 |
| 1932527728 | Marsha Perfetti | Counselor | 241 S Lewis Ln, Carbondale, IL 62901-3443 | 2014-03-31 |
| 1255670303 | Beth A Morrison | Counselor | 118 Glopen Rd, Carbondale, IL 62901-5860 | 2013-02-10 |
| 1861745911 | Turkessa Crystal Jackson | Counselor | 1144 E Rendleman St, Carbondale, IL 62901-3428 | 2012-10-25 |
| 1669783601 | Cindy P Johnson | Counselor | 35 Albany Rd Ste E, Carbondale, IL 62903-7647 | 2010-06-24 |
| 1164661716 | Peter N. Haller | Counselor | 604 E College St Ste 101, Carbondale, IL 62901-3309 | 2009-02-05 |
| 1366584906 | F Dale Budslick | Counselor | 607 W Main, #100, Carbondale, IL 62901 | 2007-02-12 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62902 |
Please comment or provide details below to improve the information on MRS. BARB GRACE ELAM.
| 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.