Cristina Lynn Mugrage, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.011980 Issued in IL

Practice address

4700 N Prospect Rd
Suite A1
Peoria Heights, IL 61616-6451

Phone

(309) 212-3606

Fax

(888) 474-1956

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cristina Lynn Zellers Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochelle, IL
  • NPI 1407143837
  Medicare reassignment NPD
• Sinnissippi Centers, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Dixon, IL
  • NPI 1538447313
  NPD
• Sinnissippi Centers, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Sterling, IL
  • NPI 1790063576
  NPD

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292716800000",
    "number": "1306804281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ORLANDO AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611356",
            "telephone_number": "309-212-3606",
            "fax_number": "888-474-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N PROSPECT RD",
            "address_2": "SUITE A1",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166451",
            "telephone_number": "309-212-3606",
            "fax_number": "888-474-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGRAGE",
        "first_name": "CRISTINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "ZELLERS",
            "middle_name": "LYNN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sally Martha McKanna
• Elizabeth Amelia McWhirter, COTA/L
• Midwest Health Operations, LLC
• Mark Montefolka, MD
• Ioan Mosoiu, MD
• Mollie Elizabeth Murdock, COTA/L
• Ashley Murray, LPN
• Megan Nordstrom, MA
• Amber Oliveri
• Osf Healthcare System

• Clinical Social Worker in Peoria Heights, IL
• Providers in Peoria Heights, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.