| Mr Jeffery Alan Cripps, LCPC | |
|
5887 Winterset Dr, Carterville, IL 62918-3447 | |
| (618) 579-6515 | |
| Not Available |
| Full Name | Mr Jeffery Alan Cripps |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 5887 Winterset Dr, Carterville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427708114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180-001393 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Health Of Southern Illinois Ltd | 2365401122 | 18 |
| Entity Name | Integrated Health Of Southern Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffery Alan Cripps, LCPC 5887 Winterset Dr, Carterville, IL 62918-3447 Ph: (618) 579-6515 | Mr Jeffery Alan Cripps, LCPC 5887 Winterset Dr, Carterville, IL 62918-3447 Ph: (618) 579-6515 |
Ms. Lisa Marie Koegler, MS,LCPC Counselor Medicare: Medicare Enrolled Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Cheryl Muckley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3561 Fax: 618-956-9349 | |
Bridgett Holder, MSW, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 | |
Tamara Samples, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Charmonique Rogers, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Erich Pilz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Marah Willmore, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 |