TIA BURNS LEABU (NPI# 1922658384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922658384 |
Entity Type | Individual |
Full Name | TIA BURNS LEABU |
Credential | MHP |
Practice Address |
1016 S Madison St Du Quoin IL 62832-2442 |
Practice Telephone | 6185424357 |
Practice Fax Number | 6185423442 |
Mailing Telephone | 6185424357 |
Mailing Fax Number | 6185423442 |
Enumeration Date | 2019-09-18 |
Last Update Date | 2019-09-18 |
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 |
Street Address |
1016 S MADISON ST |
City | DU QUOIN |
State | IL |
Zip Code | 62832-2442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457330367 | Molly B Mc Elvain | Counselor | 1016 S Madison St, Suite A, Du Quoin, IL 62832-2442 | 2006-01-10 |
1588263479 | Barbara Rushing | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2020-10-21 |
1548741416 | April Robinson | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2018-08-28 |
1265912174 | Dean Marlow | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2018-08-20 |
1437639333 | Sarah Bjorling | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2018-08-20 |
1376042515 | Brenda Mcfadden | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2018-02-02 |
1376042663 | Karen Odum | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2018-02-02 |
1275032419 | Savanna Mcfadden | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2018-02-02 |
1255830501 | Kathleen Cox-palmer | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2018-02-01 |
1942709282 | Ramona Hobbs | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2018-02-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336618859 | Jarrett Alexander Edwards | Pharmacist | 215 Grant Way Wal Mart Pharmacy, Du Quoin, IL 62832 | 2018-11-14 |
1932687944 | Gold Plate Program of Perry County | In Home Supportive Care | 721 N Hickory St, Du Quoin, IL 62832 | 2018-08-01 |
1972833770 | Danielle Klump | Nurse Practitioner | 900 N Washington Street, Du Quoin, IL 62832 | 2009-12-30 |
1003017849 | Heather Richelman | Physical Therapist | 900 N. Washington, Duquoin, IL 62832 | 2007-05-30 |
1295954600 | Duquoin Comm Unit Dist 300 | Clinic/Center | 845 East Jackson Street, Duquoin, IL 62832 | 2007-04-24 |
1427106426 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | Us Hwy 51 S Rr 2, Duquion, IL 62832 | 2007-01-08 |
1659475879 | Southern Illinois Surgical Appliance Co | Durable Medical Equipment & Medical Supplies | 207 East Main St, Duquoin, IL 62832 | 2006-09-08 |
1801909700 | Edward Clay Travis | Family Medicine | 900 N. Washington St, Du Quoin, IL 62832 | 2006-08-16 |
1871505941 | John Wesley Melvin | Chiropractor | 420 South Washington St, Duquoin, IL 62832 | 2006-08-13 |
1730133505 | Patrick L Riley | Family Medicine | 119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 | 2006-05-19 |
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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 |
---|---|---|---|---|
1447481411 | Susan Eileen Engelhardt | Counselor | 1308 Wells Street Rd, Du Quoin, IL 62832-4171 | 2009-08-07 |
1619957297 | Christopher Greater Area Rural Health Planning Corporation | Counselor | 1564 S Washington St, Du Quoin, IL 62832-3849 | 2006-01-19 |
1588263479 | Barbara Rushing | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2020-10-21 |
1346696325 | Amber Gregory | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2016-05-10 |
1710344296 | Elisabeth Hill | Counselor | 1016 S Madison St, Du Quoin, IL 62832-2442 | 2016-01-28 |
1093113557 | Anthony Bryant Moran | Counselor | 1016 S Madison St, Suite A, Du Quoin, IL 62832-2442 | 2014-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154922813 | Valerie Ann Taylor | Counselor | 1230 N Washington Ave, Batavia, IL 60510-1369 | 2020-11-07 |
1073114088 | Astrid Larsen | Counselor | 2317 Timberline Trl, Woodstock, IL 60098-8759 | 2020-11-05 |
1932708690 | Mucci World Management Inc,. | Counselor | 7913 171st St, Tinley Park, IL 60477-3244 | 2020-10-22 |
1679172373 | Alexander Czop | Counselor | 1250 Chestnut Ave, Wilmette, IL 60091-1616 | 2020-10-22 |
1427656859 | Mica Coleman | Counselor | 5800 Allemong Dr, Matteson, IL 60443-1108 | 2020-10-16 |
1386242873 | Kelly Mann | Counselor | 301 S Henry St, Ashkum, IL 60911-7119 | 2020-10-15 |
1245838549 | Erika Leigh Heatley | Counselor | 32w755 Albert Dr, East Dundee, IL 60118-3202 | 2020-10-09 |
1851999080 | Linda D Odaniel | Counselor | 12904 Division St Apt 2a, Blue Island, IL 60406-3420 | 2020-10-09 |
1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
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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.