BRIANNA WALLER (NPI# 1922384932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922384932 |
| Entity Type | Individual |
| Full Name | BRIANNA WALLER |
| Credential | MS |
| Practice Address |
1307 W Main St Marion IL 62959-1139 |
| Mailing Address |
500 Barnett Ave Apt B Carterville IL 62918-5099 |
| Practice Telephone | 6189975336 |
| Practice Fax Number | 6189932969 |
| Mailing Telephone | 6184357893 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265656 | Brianna Faith Waller | Pharmacist | 131 Handley Blvd, Byram, MS 39272-8983 | 2020-11-05 |
| 1255891370 | Brianna Frances Waller | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2019-03-24 |
| Street Address |
1307 W MAIN ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574029 | Jessica Patterson | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2020-09-29 |
| 1184240988 | Stephanie Cima | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2020-06-18 |
| 1396367348 | Rebecca Hult | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2020-05-13 |
| 1477118974 | Crystina Wells | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2019-05-09 |
| 1457872921 | Michele O'boyle | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2017-07-05 |
| 1275080475 | Patricia Roebuck | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2016-09-06 |
| 1952762189 | Centerstone of Illinois | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2016-03-16 |
| 1942569017 | Arthur David Allred | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2012-05-10 |
| 1205193562 | Faith Jones | Social Worker | 1307 W Main St, Marion, IL 62959-1139 | 2012-04-11 |
| 1740567916 | Derek Jones | Counselor | 1307 W Main St, Marion, IL 62959-1139 | 2011-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128627 | Kelsie Ann Vaske | Counselor | 1199 Delaware Ave Ste 1074, Marion, OH 43302-6475 | 2020-06-09 |
| 1265963185 | Willie Henry Ford Jr. | Counselor | 367 Front St, Marion, MA 02738-1538 | 2017-03-22 |
| 1003365552 | Andrew James Maag | Counselor | 49 Ichabod Ln, Marion, MA 02738-1003 | 2016-09-26 |
| 1740606029 | Anita Ritchey | Counselor | 1713 Marion Waldo Rd, Marion, OH 43302-7427 | 2014-03-11 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| 1528305752 | Martha Alison Graham | Counselor | 273 Country Club Rd, Marion, SC 29571-6375 | 2013-01-08 |
| 1669723037 | R. Eric Ward | Counselor | 188 S Garden St, Marion, NC 28752-4053 | 2012-09-26 |
| 1619267945 | Connie Opitz Allensworth | Counselor | 1227 Hwy 77, Marion, AR 72364 | 2011-04-07 |
| 1780850438 | Tracey Moore | Counselor | 1227 Hwy 77, Suite 2, Marion, AR 72364 | 2008-05-02 |
| 1487856688 | Gina Cale | Counselor | 101 S Washington St Ste 200, Marion, IN 46952-3868 | 2007-06-01 |
| Find all providers in MARION | ||||
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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.