Organization Active NPI

Fig & Vine

  • Mental Health Counselor
  • West Frankfort, IL
National Provider Identifier
1902773690
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 20, 2025

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.