Scott Kiser, LMFT
Individual provider Active NPI Marriage & Family Therapist · Carmi, IL
NPI 1922587849 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1922587849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 166.000770 (IL)
- Practice address
- 949 County Road 1300 N
Carmi, IL 62821-5010 - Phone
- (618) 382-4164
- Fax
- (618) 382-3239
- NPI assigned
- Aug 10, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.000770 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Baptist Children'S Home and Family Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.000770 | IL | Yes |
Addresses
Primary practice location
949 County Road 1300 N
Carmi, IL 62821-5010
Mailing address
949 County Road 1300 N
Carmi, IL 62821-5010
Phone (618) 382-4164
Other providers in Carmi, IL
- Sheina S Ivey
- Jamie Lea Jacobs
- Joyner Therapy Servies
- Dennis Loren Kay
- Lauren Keehn
- Danielle Kathleen Krikie
- Joshua Krummel
- Lisa Dawn Kubow
- Tonia Lamont
- Rhonda Lenkaitis
All providers in Carmi, IL · Marriage & Family Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.