MRS. KIMBERLY ANN RURACK (NPI# 1811096381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811096381 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY ANN RURACK |
Other Name | MISS KIMBERLY ANN DAMRON |
Credential | LCPC |
Practice Address |
8601 W Main St Ste 201 Belleville IL 62223-1719 |
Mailing Address |
14 S 72nd St Belleville IL 62223-2321 |
Practice Telephone | 6183945900 |
Practice Fax Number | 6183945909 |
Mailing Telephone | 6183981898 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
Street Address |
8601 W MAIN ST STE 201 |
City | BELLEVILLE |
State | IL |
Zip Code | 62223-1719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265419683 | Hafiz Khattak | Physical Medicine & Rehabilitation | 8601 W Main St, Ste. 101, Belleville, IL 62223-1719 | 2005-12-28 |
1790042000 | Christian Social Services of Illinois | Foster Care Agency | 8601 W Main St, Ste. 201, Belleville, IL 62223-1719 | 2012-04-12 |
1861758575 | Christian Social Services of Illinois | Community/Behavioral Health | 8601 W Main St, Ste. 201, Belleville, IL 62223-1719 | 2012-04-06 |
1417269796 | Ann Marie Bachmann | Social Worker | 8601 W Main St, Suite 201, Belleville, IL 62223-1719 | 2010-07-02 |
1942527536 | Catholic Social Services | Foster Care Agency | 8601 W Main St, Suite 201, Belleville, IL 62223-1719 | 2010-04-23 |
1124263199 | Catholic Social Service | Community/Behavioral Health | 8601 W Main St, Belleville, IL 62223-1719 | 2008-12-04 |
1194940007 | Sandra K Freiburg | Social Worker | 8601 W Main St, Suite 201, Belleville, IL 62223-1719 | 2007-04-16 |
1841413119 | Alyson Renae Knight | Counselor | 8601 W Main St, Belleville, IL 62223-1719 | 2007-04-11 |
1972660363 | Carean E Heyliger | Counselor | 8601 W Main St, Belleville, IL 62223-1719 | 2007-01-03 |
1902973910 | Catholic Social Services of Southern Illinois | Community/Behavioral Health | 8601 W Main St, Suite 201, Belleville, IL 62223-1719 | 2006-11-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
Find all providers in zip 62223 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360770 | Jaquette Ebony Sterling-ransom | Counselor | 1725 Spruce Hill Dr, Belleville, IL 62221-3602 | 2020-09-13 |
1316507429 | Oak Tree Counseling Associates LLC | Counselor | 140 Iowa Ave Ste 207, Belleville, IL 62220-3940 | 2019-06-20 |
1447773254 | Advanced Counseling and Outreach | Counselor | 9513 Rolan Meadows Lane, Belleville, MI 48111 | 2017-07-24 |
1952789372 | Sankofa Life Solutions | Counselor | 9875 Dartmoor Cir, Belleville, MI 48111-1787 | 2015-05-18 |
1144637737 | Heather Marie-hutchins Robert | Counselor | 43086 Riggs Rd, Belleville, MI 48111-3086 | 2014-07-16 |
1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
1679812648 | Kristal M Stanton | Counselor | 1205 18th St, Belleville, KS 66935-2704 | 2013-02-11 |
1881921088 | Paris Davette Jackson | Counselor | 1663 Hartman Ln Apt 9, Belleville, IL 62221-6842 | 2009-11-09 |
1336392935 | Horizon Hope Counseling | Counselor | 721 E Main, Belleville, IL 62220-3943 | 2008-10-28 |
1053587279 | Tyler D Roy- Davis | Counselor | 2602 West Blvd, Suite C, Belleville, IL 62221-5605 | 2008-05-07 |
Find all providers in BELLEVILLE |
City | BELLEVILLE |
Zip Code | 62223 |
Please comment or provide details below to improve the information on MRS. KIMBERLY ANN RURACK.
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.