Elissah Fay Adkins
Individual provider Active NPI Mental Health Counselor · Northfield, IL
NPI 1023722352 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1023722352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 405 Central Ave
Northfield, IL 60093-3006 - Phone
- (224) 505-5364
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes | ||
| Rehabilitation Counselor | 225C00000X |
Addresses
Primary practice location
405 Central Ave
Northfield, IL 60093-3006
Mailing address
405 Central Ave
Northfield, IL 60093-3006
Phone (224) 505-5364
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All providers in Northfield, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.