McKynzi Ash
Individual provider Active NPI Mental Health Counselor · Mount Vernon, IL
NPI 1962001206 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1962001206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4110 N Water Tower PL
Mount Vernon, IL 62864-6295 - Phone
- (618) 424-8266
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Hope United | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
4110 N Water Tower PL
Mount Vernon, IL 62864-6295
Mailing address
109 W Wilson St
Fairfield, IL 62837-1816
Phone (618) 919-0251
Other providers in Mount Vernon, IL
- Angela Jane Arcuri
- Wendel Arms
- Arthritis Clinic, LTD.
- Asbery and Associates OB GYN LLC
- David S Asbery
- Sheila J. Ashby
- Jessica Ashlock
- Keri Ashmore
- Aspire Integrated Health, PLLC
- Gary Atchison
All providers in Mount Vernon, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. 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.