MR. BRUCE CARR LAMONTAGNE (NPI# 1710240338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710240338 |
Entity Type | Individual |
Full Name | MR. BRUCE CARR LAMONTAGNE |
Credential | LSW |
Practice Address |
3000 Lenhart Rd Springfield IL 62711-9203 |
Practice Telephone | 2176987150 |
Practice Fax Number | 2176987085 |
Mailing Telephone | 2176987150 |
Mailing Fax Number | 2176987085 |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 150002069 | IL | Behavioral Health & Social Service Providers |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
150002069 | IL | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
150002069 | IL | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
150002069 | IL | Behavioral Health & Social Service Providers |
Street Address |
3000 LENHART RD |
City | SPRINGFIELD |
State | IL |
Zip Code | 62711-9203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750499398 | Charles W. Beard | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2006-08-25 |
1497385785 | Jill Renae Bomstad | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2020-01-25 |
1639637556 | Laura Alyce Colantino | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2019-03-10 |
1871067587 | Kevia M Maloney | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2019-01-15 |
1376961698 | Kathleen L Lyons Clotfelter | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2014-04-03 |
1194087445 | Rebecca Payne | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2012-06-12 |
1033475017 | Glynnis Ann Shryock | Counselor | 3000 Lenhart Rd, Living Hope Counseling Center, Springfield, IL 62711-9203 | 2012-04-04 |
1770600355 | Living Hope Counseling Center | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2007-03-26 |
1245314939 | Susan Gail Yarrington | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2006-10-25 |
1447368097 | Deborah A. Thompson-beard | Counselor | 3000 Lenhart Rd, Springfield, IL 62711-9203 | 2006-08-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
Find all providers in zip 62711 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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1649803990 | Stephanie R Stephens | Counselor | 1705 Maiden Ln, Springfield, OH 45504-2908 | 2020-02-14 |
1801449988 | Maurice Steven Martinez | Counselor | 7215 Adrienne Glen Ave, Springfield, VA 22152-3540 | 2019-07-18 |
1215494737 | John Henry Mccollum Jr. | Counselor | 80 Congress St Ste 101, Springfield, MA 01104-3427 | 2019-02-21 |
1821584541 | Patricia Thakur | Counselor | 404 E Battlefield St # R, Springfield, MO 65807-4802 | 2018-07-05 |
1336632074 | Solutions Group Nw LLC | Counselor | 3831 Main St Ste 108, Springfield, OR 97478-5801 | 2018-06-07 |
1285126235 | Rebecca Ann Dalton | Counselor | 3032 S Fremont Ave Ste C200, Springfield, MO 65804-4210 | 2018-06-05 |
1184136905 | Mark Jones | Counselor | 120 N Fountain Ave, Springfield, OH 45502-1163 | 2017-11-02 |
1457863599 | Michael A Carter | Counselor | 832 Olive St, Springfield, OH 45503-3738 | 2017-10-30 |
1710498001 | Springfield Treatment Center | Counselor | 1485 Market St, Springfield, OR 97477-3337 | 2017-10-13 |
1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62711 |
Please comment or provide details below to improve the information on MR. BRUCE CARR LAMONTAGNE.
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.