Rosella Leeann Book
Individual provider Active NPI Mental Health Counselor · Fairfield, IL
NPI 1376003202 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1376003202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 407 N Basin Rd
Fairfield, IL 62837-9639 - Phone
- (618) 516-3526
- Fax
- (618) 516-3525
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
407 N Basin Rd
Fairfield, IL 62837-9639
Mailing address
407 N Basin Rd
Fairfield, IL 62837-9639
Phone (618) 516-5326
Other practice location 1
1705 College Ave
Carmi, IL 62821-2258
Phone (618) 382-7311
Other providers in Fairfield, IL
- Jill L Barnfield
- Vivian Beadles
- Christopher D Beehn
- Kayla Shaye Bell
- April Joy Best
- Barbara Denise Bozarth
- Brad McMillin, Inc
- Emily Marie Braden
- Brain Training Center, LLC
- Kimberly Briggs
All providers in Fairfield, 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 Oct 28, 2020. 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.