Drew Merriman
Individual provider Active NPI Counselor · Bethalto, IL
NPI 1487501490 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1487501490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 114 W Corbin St
Bethalto, IL 62010-1210 - Phone
- (217) 491-6411
- NPI assigned
- Mar 11, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
114 W Corbin St
Bethalto, IL 62010-1210
Mailing address
114 W Corbin St
Bethalto, IL 62010-1210
Other providers in Bethalto, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 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.