Individual provider Active NPI

David R Vail

  • Counselor
  • Springfield, IL
National Provider Identifier
1366936239
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
149.020339 Issued in IL
Practice address
435 W Washington St
Springfield, IL 62702-5006
Phone
(217) 210-2476
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.020339 IL
Counselor 101Y00000X 149.020339 IL Primary

Addresses

Primary practice location

435 W Washington St
Springfield, IL 62702-5006

Mailing address

8795 River Birch Rd
Dawson, IL 62520-3350
Phone (217) 415-5005

Other practice location 1

301 south grand ave east
Springifeld, IL 62704
Phone (217) 203-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.020339ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Healthcare Systems LLC PastSince Feb 18, 2018 Accepting new patients
Stillwater Center for Wellness PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1366936239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8795 RIVER BIRCH RD",
            "city": "DAWSON",
            "state": "IL",
            "postal_code": "625203350",
            "telephone_number": "217-415-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025006",
            "telephone_number": "217-210-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 south grand ave east",
            "address_purpose": "LOCATION",
            "city": "Springifeld",
            "state": "IL",
            "postal_code": "62704",
            "country_code": "US",
            "telephone_number": "217-203-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIL",
        "first_name": "DAVID",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020339",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "149.020339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.