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 |
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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 | |
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: Not Enrolled in Medicare Practice Location: 11493 Riess Rd, Mascoutah, IL 62258 Phone: 618-789-6029 |