NANCY JANE BRACEY (NPI# 1720009889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720009889 |
| Entity Type | Individual |
| Full Name | NANCY JANE BRACEY |
| Credential | LCPC |
| Practice Address |
6201 W Main St Suite 110 Maryville IL 62062-6870 |
| Mailing Address |
6 E Huntington Dr Maryville IL 62062-6724 |
| Practice Telephone | 6183436230 |
| Practice Fax Number | 6183436235 |
| Mailing Telephone | 6183436230 |
| Mailing Fax Number | 6183436235 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| Street Address |
6201 W MAIN ST SUITE 110 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-6870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487602827 | Reginald Wynn Holt | Counselor | 6201 W Main St, Suite 110, Maryville, IL 62062-6870 | 2006-05-05 |
| 1891330585 | Rachel Kent | Counselor | 6201 W Main St, Maryville, IL 62062-6870 | 2019-11-17 |
| 1487195582 | Midwestern Psychological Consultants, Ltd | Psychologist | 6201 W Main St, Suite 130, Maryville, IL 62062-6870 | 2017-03-09 |
| 1174962419 | Stephanie A Henson | Social Worker | 6201 W Main St, Suite 130, Maryville, IL 62062-6870 | 2013-06-20 |
| 1902161730 | William Schwartz | Counselor | 6201 W Main St, Suite 110, Maryville, IL 62062-6870 | 2012-07-09 |
| 1912274374 | Anne Rappaport | Counselor | 6201 W Main St, Suite 110, Maryville, IL 62062-6870 | 2011-11-29 |
| 1528103108 | Robin L. Myers | Psychologist | 6201 W Main St, Ste 130, Maryville, IL 62062-6870 | 2007-02-21 |
| 1245247600 | Melissa S Jordan-murphy | Counselor | 6201 W Main St, Suite110, Maryville, IL 62062-6870 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1033653167 | Kathleen Ann Puckett | Counselor | 1017 Hampshire Dr, Maryville, TN 37801-3525 | 2016-12-08 |
| 1528426152 | Jesse Williams | Counselor | 200 E Broadway Ave Ste 314b, Maryville, TN 37804-5709 | 2016-02-10 |
| 1326441528 | Kelsey Perkins | Counselor | 6201 W Main St Ste 120, Maryville, IL 62062-6870 | 2014-10-01 |
| 1255753927 | North Star Counseling and Wellness Center | Counselor | 811 Micah St, Maryville, TN 37804-3084 | 2014-01-14 |
| 1851627327 | Jaynie Bradley Moore | Counselor | 315 Home Ave, Maryville, TN 37801-3970 | 2009-10-19 |
| 1699933630 | Mary Ellen Theodore | Counselor | 321 N Munn Ave, Maryville, MO 64468-2146 | 2008-05-27 |
| 1285832725 | Katherine E Bentley-knowles | Counselor | 347 High St, Maryville, TN 37804-5831 | 2007-07-06 |
| 1194879833 | Alicia Drew | Counselor | 2016 Vadalabene Dr Ste A, Maryville, IL 62062-6901 | 2007-01-22 |
| 1053492637 | Melissa D. Frye | Counselor | 1012 E Lamar Alexander Pkwy, Maryville, TN 37804-5132 | 2006-10-18 |
| Find all providers in MARYVILLE | ||||
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| 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.