Michael G Myers, LPC

Individual provider Active NPI Mental Health Counselor · Quincy, IL

NPI 1538094719 · NPPES record last updated Jun 17, 2026

Key facts

NPI
1538094719
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
178.023044 (IL)
Practice address
195 S 36TH St Ste 400
Quincy, IL 62301-5801
Phone
(217) 228-6194
NPI assigned
Jun 17, 2026
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry Walker Therapy Services Mental Health Past Accepting new patients
Jerry Walker Therapy Services Inc. Mental Health Past
since Jan 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X 178.023044 IL Yes

Addresses

Primary practice location

195 S 36TH St Ste 400
Quincy, IL 62301-5801

Mailing address

913 W Line St
Palmyra, MO 63461-1823
Phone (217) 209-1644

Other providers in Quincy, IL

All providers in Quincy, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.