Active NPI
Fig & Vine
- Mental Health Counselor
- West Frankfort, IL
National Provider Identifier
1902773690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FIG & VINE
- Practice address
- 304 N Sunny Slope St
West Frankfort, IL 62896-1650 - Phone
- (618) 923-5576
- Fax
- (618) 923-5576
- NPI assigned
- Oct 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dr Tara Carlotta Chambers, PHD, LCPC
- Title
- Executive Director
- Phone
- (618) 923-5576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
304 N Sunny Slope St
West Frankfort, IL 62896-1650
Mailing address
11599 S County Line Rd
West Frankfort, IL 62896-4954
Phone (618) 923-5576
National Provider Directory
National Provider DirectoryLocations
304 N Sunny Slope St
West Frankfort, IL 62896
Phone (618) 923-5576
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- West Frankfort, IL
- NPI 1265120554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760918400000",
"number": "1902773690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11599 S COUNTY LINE RD",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628964954",
"telephone_number": "618-923-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N SUNNY SLOPE ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628961650",
"telephone_number": "618-923-5576",
"fax_number": "618-923-5576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIG & VINE",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-19",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "DR TARA",
"authorized_official_middle_name": "CARLOTTA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "618-923-5576",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.