| Mr Robert J Dean Phillips, MS,LCPC,NCC | |
|
1200 N 4th St, Effingham, IL 62401-3032 | |
| (217) 347-7179 | |
| Not Available |
| Full Name | Mr Robert J Dean Phillips |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1200 N 4th St, Effingham, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093708208 | NPI | - | NPPES |
| 180-005312 | Other | IL | LCPC |
| 370912882 | Medicaid | IL | |
| 202794 | Other | NATIONAL CERTIFICATION | |
| 39002212A | Other | IN | INDIANA PROFESSIONAL LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180005312 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39002212A (Indiana) | Primary |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert J Dean Phillips, MS,LCPC,NCC 1200 N 4th St, Effingham, IL 62401-3032 Ph: (217) 347-7179 | Mr Robert J Dean Phillips, MS,LCPC,NCC 1200 N 4th St, Effingham, IL 62401-3032 Ph: (217) 347-7179 |
Michelle Humel, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 S Willow St Ste 7, Effingham, IL 62401 Phone: 217-347-7384 | |
Kaycee Britton, BA, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 S 4th St Ste 213, Effingham, IL 62401 Phone: 217-347-5880 | |
Kevin Bushur, MS/LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N 4th St, Effingham, IL 62401 Phone: 217-347-7179 | |
Mrs. Amy M Schmidt, M.S, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 408 S 4th St, Effingham, IL 62401 Phone: 217-246-1810 | |
Rebecca Holkenbrink, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1106 N Merchant St, Effingham, IL 62401 Phone: 217-342-7000 Fax: 217-342-7002 | |
Mrs. Kristi Rae Kinney, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14989 N Park Rd, Effingham, IL 62401 Phone: 217-868-5862 Fax: 217-868-5739 | |
Faith Elisabeth Griffin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2313b Hoffman Dr, Effingham, IL 62401 Phone: 217-994-4898 |