Tony Yung Kirkman, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180006897 Issued in IL

Practice address

204 N Main St
Suite 203
Saint Joseph, IL 61873-9355

Phone

(217) 469-7566

Fax

(217) 469-2568

NPI assigned

Jan 30, 2012

Last updated

Jan 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illini Christian Ministries Inc

  • Psychologist
  • Saint Joseph, IL
  • NPI 1376635078
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1104198621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 JACOBS WAY",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625358903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "address_2": "SUITE 203",
            "city": "SAINT JOSEPH",
            "state": "IL",
            "postal_code": "618739355",
            "telephone_number": "217-469-7566",
            "fax_number": "217-469-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKMAN",
        "first_name": "TONY",
        "middle_name": "YUNG",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illini Christian Ministries Inc
• Richard Kenneth Ingram, RPH
• JMP Counseling and Tutoring Services, LLC
• Leslie Renee Johnson, BSN, RN
• Jill Elizabeth Kellner, MA, CCC-SLP
• CHI Kim Le, D.M.D.
• Megan Catherine Learned
• Ricky Mahajan
• Lea Meister, LPMT, MT-BC
• Angela Hardimon Monk, M.S., CCC/SLP

• Professional Counselor in Saint Joseph, IL
• Providers in Saint Joseph, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.