Jubilee House Outreach

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

JUBILEE HOUSE OUTREACH

Practice address

417 W College Ave
Greenville, IL 62246-1020

Phone

(618) 664-2360

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

George R. Peters

Title

Executive Director

Phone

(618) 664-2360

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Hughey-Rasler, PH.D.

  • Marriage & Family Therapist
  • Greenville, IL
  • NPI 1306056346
  Medicare reassignment Care Compare group NPD
• Alison Lanter, LSW

  • Social Worker
  • Greenville, IL
  • NPI 1912313321
  Medicare reassignment Care Compare group NPD
• Vaughn Robart, LCSW

  • Clinical Social Worker
  • Vandalia, IL
  • NPI 1851792782
  Medicare reassignment NPD
• Linda Peters, LCPC

  • Professional Counselor
  • Greenville, IL
  • NPI 1083020481
  NPD (past)

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1215359880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W COLLEGE AVE",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461020",
            "telephone_number": "618-664-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W COLLEGE AVE",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461020",
            "telephone_number": "618-664-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE HOUSE OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-664-2360"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayla Jack, PHARMD, RPH
• Angela Veanne Jarrett, APRN
• Benjamin Jarrett, MD
• Ryan L Jennings, M.D.
• Kathleen Alma Johnson, NP
• Mary J Kaiser, RD
• Ashleigh Jordan Kennedy, M.D.
• Marissa Renae Kile, M.S., SLP-CF
• Brandon Joseph Kircher, ATC/LAT
• Bary Michael Klevene, MD

• Marriage & Family Therapist in Greenville, IL
• Providers in Greenville, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.