Ebonie Monique Byrd

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8 Executive Dr
Fairview Heights, IL 62208-1345

Phone

(618) 688-4727

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hoyleton Youth and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belleville, IL
  • NPI 1841946225
  NPD
• Hoyleton Youth and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belleville, IL
  • NPI 1972374890
  NPD

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1821800541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 DARWICK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322909",
            "telephone_number": "815-668-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081345",
            "telephone_number": "618-688-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "EBONIE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shameka Chante Brown
• Todd Allen Brown, LPC
• Lucinda Brownlee
• Marleen Louise Burns, ARNP
• Alison T Bustard, PHARM D
• Ca Group, LLC
• Alexis Camp, MA
• Cardio Diagnostic Systems, S.C.
• Cardio Diagnostic Systems, S.C.
• Caretenders Visiting Services of Southern Illinois, LLC

• Mental Health Counselor in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.