| Mrs Carrie L Ryberg, MA, LCPC, NCC | |
| 
					528 Streamstone Ln, Mascoutah, IL 62258-1538  | |
| (618) 477-1331 | |
| (618) 566-0030 | 
| Full Name | Mrs Carrie L Ryberg | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 528 Streamstone Ln, Mascoutah, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720268782 | NPI | - | NPPES | 
| 180.008471 | Other | IL | LICENSE NUMBERG | 
| 1720268782 | Other | IL | NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | RC00054786 (Washington) | Secondary | 
| 101YP2500X | Counselor - Professional | 180.008471 (Illinois) | Primary | 
| Entity Name | Mental Health Specialty Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240911001944  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Carrie L Ryberg, MA, LCPC, NCC 528 Streamstone Ln, Mascoutah, IL 62258-1538 Ph: (618) 477-1331  | Mrs Carrie L Ryberg, MA, LCPC, NCC 528 Streamstone Ln, Mascoutah, IL 62258-1538 Ph: (618) 477-1331  | 
Kari Ross, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 W Main St, Mascoutah, IL 62258 Phone: 567-674-2061  | |
Mr. James E. Booth, MS, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 219 E Main St, Mascoutah, IL 62258 Phone: 618-792-0613  | |
Mrs. Angela Nicole Knaub, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 E State St, Mascoutah, IL 62258 Phone: 618-566-3100  | |
Jeanna Bradley,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 W Main St, Mascoutah, IL 62258 Phone: 618-328-8008  | |
Stacy Stein, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 E Church St, Mascoutah, IL 62258 Phone: 618-566-3100 Fax: 618-566-3101  | |
Mrs. Jennipher Ann Vorhees, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 11493 Riess Rd, Mascoutah, IL 62258 Phone: 618-789-6029  |