Ross Thomas
Individual provider Active NPI Mental Health Counselor · Hartsburg, IL
NPI 1356291389 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1356291389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 178.022719 (IL)
- Practice address
- 200 E Logan St
Hartsburg, IL 62643-6012 - Phone
- (217) 314-9680
- NPI assigned
- Jan 29, 2026
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.022719 | IL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.022719 | IL | Yes |
Addresses
Primary practice location
200 E Logan St
Hartsburg, IL 62643-6012
Mailing address
200 E Logan St
Hartsburg, IL 62643-6012
Phone (217) 314-9680
Other providers in Hartsburg, IL
All providers in Hartsburg, 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 29, 2026. 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.