ANNIE MARIE MUSGRAVES (NPI# 1639710775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639710775 |
| Entity Type | Individual |
| Full Name | ANNIE MARIE MUSGRAVES |
| Practice Address |
1120 E Main St Ste 201 St Charles IL 60174 |
| Mailing Address |
1120 E Main St Ste 201 St Charles IL 60174-2287 |
| Practice Telephone | 6303776613 |
| Practice Fax Number | 6303776225 |
| Mailing Telephone | 6303776613 |
| Mailing Fax Number | 6303776225 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
208000738 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1120 E MAIN ST STE 201 |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407949951 | James R Otepka | Marriage & Family Therapist | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2006-10-02 |
| 1174124747 | Ingo Weigold | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2020-11-02 |
| 1497215396 | Marko Tunjic | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2019-03-25 |
| 1801369848 | Toussaint David Whetstone | Psychologist | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2019-01-02 |
| 1780152777 | Lindsay Jackson | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2018-11-07 |
| 1891274577 | Kimberly Dawn Eldridge | Social Worker | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2018-08-13 |
| 1477071736 | Cameron Keith Young | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174 | 2017-09-06 |
| 1417471533 | Melissa Catherine Ludzack | Marriage & Family Therapist | 1120 E Main St Ste 201, St Charles, IL 60174 | 2017-07-31 |
| 1841713997 | Sarah Elizabeth Carroll Turner | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2017-07-20 |
| 1174045827 | Eileen C Sullivan | Social Worker | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713312 | Elizabeth Ann Mcnally | Counselor | 102 Carrol Rd, St Charles, IL 60174-5510 | 2018-09-13 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1740609312 | Brenda Joyce Sypolt | Counselor | 730 Persimmon Dr, St Charles, IL 60174-1386 | 2014-04-10 |
| 1992978506 | Diane Fuhs | Counselor | 100 Illinois St, Suite 200, St Charles, IL 60174-1866 | 2008-04-04 |
| 1003008178 | Psychological Health Associates | Counselor | 303 N 2nd St Ste B, St Charles, IL 60174-1804 | 2007-08-13 |
| 1144319054 | Heather E Barker | Counselor | 2800 Savior Lutheran, St Charles, MO 63301-0000 | 2006-10-11 |
| 1174124747 | Ingo Weigold | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2020-11-02 |
| 1619508397 | Hope Danielle Barnes | Counselor | 1750 E Main St Ste 40, St Charles, IL 60174-2398 | 2020-01-30 |
| 1780152777 | Lindsay Jackson | Counselor | 1120 E Main St Ste 201, St Charles, IL 60174-2287 | 2018-11-07 |
| 1619465499 | Lauren Doherty | Counselor | 1750 E Main St Ste 40, St Charles, IL 60174-2398 | 2018-04-26 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
Please comment or provide details below to improve the information on ANNIE MARIE MUSGRAVES.
| 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.