Individual provider Active NPI

John M Frisbie, MAMH

  • Professional Counselor
  • O Fallon, IL
National Provider Identifier
1639588478
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010290 Issued in IL
Practice address
785 Wall St
Suite 200
O Fallon, IL 62269-1959
Phone
(618) 792-8256
Fax
(618) 726-2024
NPI assigned
Aug 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178010135 IL
Professional Counselor 101YP2500X 180010290 IL Primary

Addresses

Primary practice location

785 Wall St
Suite 200
O Fallon, IL 62269-1959

Mailing address

8 Eagle Ctr Ste 2
O Fallon, IL 62269-1947
Phone (618) 792-8256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702001953 IL Practitioner - Mental Health Counselor 3678086683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Counseling Services PLLCGroup PAC ID 2769995778, 4 clinicians

Practice addresses (Care Compare)

8 Eagle Ctr
Suite 2
O Fallon, IL 62269-1947
Phone (618) 792-8256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178010135ILMDMental Health Counselor
180010290ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling Services PLLC Professional CurrentSince Jun 16, 2025 Accepting new patients

Locations

8 Eagle Ctr
Ste 2
O Fallon, IL 62269
Phone (618) 726-2048

Organizations & group practices 1

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1639588478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EAGLE CTR STE 2",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691947",
            "telephone_number": "618-792-8256",
            "fax_number": "618-726-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 WALL ST",
            "address_2": "SUITE 200",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691959",
            "telephone_number": "618-792-8256",
            "fax_number": "618-726-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISBIE",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MAMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178010135",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.