TIA BURNS LEABU


Address: 1016 S Madison St, Du Quoin, IL 62832-2442
Phone: 6185424357

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 1016 S MADISON ST
City DU QUOIN
State IL
Zip Code 62832-2442

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DU QUOIN
Zip Code 62832

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Dataset Information

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.

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