Organization Active NPI

G&G Behavioral Health Consultants LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, IL
National Provider Identifier
1619630225
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
G&G BEHAVIORAL HEALTH CONSULTANTS LLC
Practice address
2265 State Pond Rd
Jonesboro, IL 62952-2098
Phone
(157) 327-5703
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Gretchin Emrick, APRN, PMHNP
Title
Aprn
Phone
(618) 697-5212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2265 State Pond Rd
Jonesboro, IL 62952-2098

Mailing address

2265 State Pond Rd
Jonesboro, IL 62952-2098
Phone (157) 327-5703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1619630225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 STATE POND RD",
            "city": "JONESBORO",
            "state": "IL",
            "postal_code": "629522098",
            "telephone_number": "157-327-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 STATE POND RD",
            "city": "JONESBORO",
            "state": "IL",
            "postal_code": "629522098",
            "telephone_number": "157-327-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&G BEHAVIORAL HEALTH CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "EMRICK",
        "authorized_official_first_name": "GRETCHIN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "618-697-5212",
        "authorized_official_credential": "APRN, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.