| 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 | Counselor - Mental Health | 
| Location | 5887 Winterset Dr, Carterville, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427708114 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180-001393 (Illinois) | Primary | 
| 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  |